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1841913936
KRYSTAL LIGHTLE
SALEM, OR
NPI
1841913936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: OR 22-QMHA-II-000041)
Enumeration Date
2022-09-22
Last Update Date
2022-09-22
Business Address
KRYSTAL LIGHTLE QMHA-II, CADC-R
4080 REED RD SE STE 150
SALEM, OR 97302-1335
Phone number: 503-581-1732
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Mailing Address
KRYSTAL LIGHTLE QMHA-II, CADC-R
PO BOX 1502
EUGENE, OR 97440-1502
Phone number: 541-344-1121
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