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1164732418
CRYSTAL DEARTH-LORTON
YUCCA VALLEY, CA
NPI
1164732418
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-10-19
Last Update Date
2010-10-19
Business Address
-- CRYSTAL DEARTH-LORTON
55475 SANTA FE TRL
YUCCA VALLEY, CA 92284-3117
Phone number: 760-365-3022
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Mailing Address
-- CRYSTAL DEARTH-LORTON
PO BOX 6070 SUITE 225
BIG BEAR LAKE, CA 92315-6070
Phone number: 909-878-0101
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