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1033184544
CRYSTAL COLLIER
LA GRANDE, OR
NPI
1033184544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
(Licence: OR 040102134)
Enumeration Date
2006-02-19
Last Update Date
2007-07-08
Business Address
-- CRYSTAL COLLIER ATC
1 UNIVERSITY BLVD
LA GRANDE, OR 97850-2807
Phone number: 541-962-3750
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Mailing Address
-- CRYSTAL COLLIER ATC
2602 N ASH ST
LA GRANDE, OR 97850-2731
Phone number: 541-663-1766
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