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1033444575
JESSICA WALLICK
BEND, OR
NPI
1033444575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: OR 13451)
Enumeration Date
2009-10-15
Last Update Date
2009-10-15
Business Address
-- JESSICA WALLICK
1327 NW LEXINGTON AVE.
BEND, OR 97701
Phone number: 541-420-5278
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Mailing Address
-- JESSICA WALLICK
1327 NW LEXINGTON AVE.
BEND, OR 97701
Phone number: 541-420-5278
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