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1194123281
LORI CRANDALL
LA GRANDE, OR
NPI
1194123281
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-12-05
Last Update Date
2014-12-05
Business Address
-- LORI CRANDALL
2301 COVE AVE
LA GRANDE, OR 97850-3906
Phone number: 541-962-8800
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Mailing Address
-- LORI CRANDALL
2301 COVE AVE
LA GRANDE, OR 97850-3906
Phone number: 541-962-8800
Copy
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