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1780136242
CRYSTAL MARIE RODRIGUEZ
CORVALLIS, OR
NPI
1780136242
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Former Name
CRYSTAL MARIE GLEISNER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2016-11-01
Last Update Date
2023-03-17
Business Address
Mrs. CRYSTAL MARIE RODRIGUEZ PA-C
5234 SW PHILOMATH BLVD
CORVALLIS, OR 97333-1042
Phone number: 541-768-4970
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Mailing Address
Mrs. CRYSTAL MARIE RODRIGUEZ PA-C
PO BOX 1189
CORVALLIS, OR 97339-1189
Phone number:
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