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1265262612
CRYSTAL ROSE WISS
LEBANON, OR
NPI
1265262612
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Former Name
CRYSTAL ROSE HASKINS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: OR C8013)
Enumeration Date
2024-08-01
Last Update Date
2024-08-01
Business Address
CRYSTAL ROSE WISS
1600 S MAIN ST
LEBANON, OR 97355-3109
Phone number: 541-451-5932
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Mailing Address
CRYSTAL ROSE WISS
PO BOX 100
ALBANY, OR 97321-0031
Phone number: 541-967-3866
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