Org ID
00-21371
License ID
646520
In city limits?
Yes
County
Class
Expiration Date
UBI
602765244
Contact Name
TRAVIS FRYBACK
call Phone: (541) 913-8691
Premises Location
2955 YOLANDA AVE
Location State
OR
Location Zip
97477
Location City
Mailing City
Mailing State
OR
Mailing Zip
97477
Category