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Individual

CRYSTAL COLLIER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1 UNIVERSITY BLVD, LA GRANDE, OR 97850-2807
(541) 962-3750
Mailing address
2602 N ASH ST, LA GRANDE, OR 97850-2731
(541) 663-1766

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OR

Other

Enumeration date
02/19/2006
Last updated
07/08/2007
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