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1992524201
CORRIE CRUMP
MEDFORD, OR
NPI
1992524201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OR 202112389NP-PP)
Enumeration Date
2024-10-04
Last Update Date
2024-10-04
Business Address
CORRIE CRUMP ACNPC-AG
2900 STATE ST
MEDFORD, OR 97504-8458
Phone number: 541-779-1672
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Mailing Address
CORRIE CRUMP ACNPC-AG
3457 DURST ST
MEDFORD, OR 97504-4221
Phone number: 330-501-0444
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