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1558837781
LARISA KRAVCHUK
KEIZER, OR
NPI
1558837781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
Enumeration Date
2018-10-15
Last Update Date
2018-10-15
Business Address
LARISA KRAVCHUK
805 FIR CONE DR NE
KEIZER, OR 97303-4328
Phone number: 503-463-6508
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Mailing Address
LARISA KRAVCHUK
805 FIR CONE DR NE
KEIZER, OR 97303-4328
Phone number: 503-463-6508
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