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1942345913
KELLY A LONGSTREET
ASTORIA, OR
NPI
1942345913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
247200000X Technician, Other
Enumeration Date
2007-02-20
Last Update Date
2007-07-08
Business Address
-- KELLY A LONGSTREET
USCGC FIR (WLB 213) BASE TONGUE POINT
ASTORIA, OR 97103
Phone number: 503-325-1601
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Mailing Address
-- KELLY A LONGSTREET
2 EBB TIDE LNDG
POQUOSON, VA 23662-1334
Phone number:
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