1841744034

Everything you always wanted to know about MR. CRAFT DAVID CP but were afraid to ask.

MR. CRAFT DAVID CP

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Provider Prefix Provider Last Name Provider First Name Provider Credential
MR. CRAFT DAVID CP
Gender:
Male
Enumeration date:
2016-08-05
Last update date:
2016-08-05
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
224P00000X Prosthetist DE CP01992 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 2133883151
Practice Location Address Telephone Number 2133883151
Mailing Address Fax Number 2136393454
Practice Location Address Fax Number 2136393454

Addresses

Type Address City State Postal Country
Mailing Address 3160 GENEVA ST LOS ANGELES CA 0 CA
Practice Location Address 3160 GENEVA ST LOS ANGELES CA 0 CA

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1699228619 MARK, JACK
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