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1356934590
KRYSTAL NICOLE RUTHERFORD
VANCOUVER, WA
NPI
1356934590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-02-18
Last Update Date
2021-02-18
Business Address
KRYSTAL NICOLE RUTHERFORD
6926 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661-7254
Phone number: 360-993-3000
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Mailing Address
KRYSTAL NICOLE RUTHERFORD
6926 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661-7254
Phone number: 360-993-3000
Copy
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