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1902566193
KRYSTAL F LEBLANC
PORTLAND, OR
NPI
1902566193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: OR 105948)
Enumeration Date
2021-12-29
Last Update Date
2021-12-29
Business Address
KRYSTAL F LEBLANC CHW
1427 NW FLANDERS ST STE A
PORTLAND, OR 97209-2646
Phone number: 503-972-0235
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Mailing Address
KRYSTAL F LEBLANC CHW
2459 SE TUALATIN VALLEY HWY # 416
HILLSBORO, OR 97123-7919
Phone number: 503-972-0235
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