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1841936531
CRYSTAL TANNER
REDMOND, OR
NPI
1841936531
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR T-22-1608)
Enumeration Date
2022-05-06
Last Update Date
2022-05-06
Business Address
CRYSTAL TANNER
340 NW 5TH ST
REDMOND, OR 97756-1869
Phone number: 541-516-4087
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Mailing Address
CRYSTAL TANNER
PO BOX 1710
REDMOND, OR 97756-0516
Phone number: 541-516-4087
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