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1912476649
SHAD FREDRICK CRAPO
EVANSTON, WY
NPI
1912476649
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-11-26
Last Update Date
2018-11-26
Business Address
SHAD FREDRICK CRAPO PA-C
195 FEATHER WAY
EVANSTON, WY 82930-9352
Phone number: 307-200-9200
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Mailing Address
SHAD FREDRICK CRAPO PA-C
195 FEATHER WAY
EVANSTON, WY 82930-9352
Phone number:
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