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1023497633
JOLENE SIMMONS
CORVALLIS, OR
NPI
1023497633
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Former Name
JOLENE KIRLAND
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 200930298LPN)
Enumeration Date
2015-05-28
Last Update Date
2015-05-28
Business Address
-- JOLENE SIMMONS
755 NE CIRCLE BLVD UNIT 30
CORVALLIS, OR 97330-4261
Phone number: 541-754-7302
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Mailing Address
-- JOLENE SIMMONS
755 NE CIRCLE BLVD SPACE 30
CORVALLIS, OR 97330
Phone number: 541-754-7302
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