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1952097586
CHARLES ANDRE CRAYTON
GOODYEAR, AZ
NPI
1952097586
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date
2023-04-17
Last Update Date
2023-04-17
Business Address
CHARLES ANDRE CRAYTON
18109 W TECOMA RD
GOODYEAR, AZ 85338-7753
Phone number: 219-689-0256
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Mailing Address
CHARLES ANDRE CRAYTON
18109 W TECOMA RD
GOODYEAR, AZ 85338-7753
Phone number: 219-689-0256
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