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1841400959
CHRYSTAL ANN RUSSELL
CORVALLIS, OR
NPI
1841400959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
Mrs. CHRYSTAL ANN RUSSELL BS
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-758-5900
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Mailing Address
Mrs. CHRYSTAL ANN RUSSELL BS
26841 BELLFOUNTAIN RD
MONROE, OR 97456-9755
Phone number: 541-230-4303
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