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1245643261
CRYSTAL SHANNON OLIVA
BAKERSFIELD, CA
NPI
1245643261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-06-06
Last Update Date
2014-06-27
Business Address
-- CRYSTAL SHANNON OLIVA
1124 BAKER ST
BAKERSFIELD, CA 93305-4322
Phone number: 661-327-9376
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Mailing Address
-- CRYSTAL SHANNON OLIVA
PO BOX 3067
BAKERSFIELD, CA 93385-3067
Phone number: 661-327-9376
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