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1144629239
KRISTTY POLANCO
CORVALLIS, OR
NPI
1144629239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2014-08-14
Last Update Date
2014-08-14
Business Address
-- KRISTTY POLANCO
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6835
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Mailing Address
-- KRISTTY POLANCO
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6835
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