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1629490115
CRYSTAL SHORT
GRASS VALLEY, CA
NPI
1629490115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-01-17
Last Update Date
2014-01-17
Business Address
-- CRYSTAL SHORT
900 E MAIN ST STE 201
GRASS VALLEY, CA 95945-5853
Phone number: 530-273-2244
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Mailing Address
-- CRYSTAL SHORT
900 E MAIN ST STE 201
GRASS VALLEY, CA 95945-5853
Phone number: 530-273-2244
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