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1184349268
CRYSTAL RANEE DEDMORE
PORTLAND, OR
NPI
1184349268
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Former Name
CRYSTAL RANEE DEDMORE MELTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-10-11
Last Update Date
2022-10-11
Business Address
CRYSTAL RANEE DEDMORE
13541 SE MARKET ST
PORTLAND, OR 97233-1752
Phone number: 503-258-9734
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Mailing Address
CRYSTAL RANEE DEDMORE
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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