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1184825499
CRISTY LEA BASS
CORVALLIS, OR
NPI
1184825499
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: OR 5295680)
Enumeration Date
2007-05-31
Last Update Date
2007-07-08
Business Address
Mrs. CRISTY LEA BASS
4455 NE HIGHWAY 20
CORVALLIS, OR 97333
Phone number: 541-451-4919
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Mailing Address
Mrs. CRISTY LEA BASS
344 S 12TH ST
LEBANON, OR 97355-1410
Phone number:
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