Org ID
00-25140
License ID
647481
In city limits?
Yes
County
Class
Expiration Date
UBI
605087387
Contact Name
AMANDA DERSCHON
call Phone: (541) 993-1310
Premises Location
124 W MAIN ST
Location State
WA
Location Zip
98620
Location City
Mailing City
Mailing State
WA
Mailing Zip
98620
Category