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1518225176
CRYSTAL LEE HARTSHORN
VANCOUVER, WA
NPI
1518225176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: WA MA00019153)
Enumeration Date
2012-05-01
Last Update Date
2012-05-01
Business Address
Mrs. CRYSTAL LEE HARTSHORN MA00019153
1004 NE MINNEHAHA ST
VANCOUVER, WA 98665-8728
Phone number: 360-977-4753
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Mailing Address
Mrs. CRYSTAL LEE HARTSHORN MA00019153
35201 NE SUNSET FALLS RD
YACOLT, WA 98675-9513
Phone number: 360-953-7644
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