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1558788794
CRYSTAL BANUELOS
CORVALLIS, OR
NPI
1558788794
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2014-03-26
Last Update Date
2014-03-26
Business Address
-- CRYSTAL BANUELOS
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6835
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Mailing Address
-- CRYSTAL BANUELOS
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6835
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