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1063782357
JACQUELINE JILL FUMMERTON
ROSEBURG, OR
NPI
1063782357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC1500X Registered Nurse, Community Health
(Licence: OR 086003299RN)
Enumeration Date
2012-01-04
Last Update Date
2012-01-04
Business Address
-- JACQUELINE JILL FUMMERTON RN
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-440-3639
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Mailing Address
-- JACQUELINE JILL FUMMERTON RN
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-440-3639
Copy
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