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1063867026
JONNIE WHITCOMB
BEND, OR
NPI
1063867026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: OR 15718)
Enumeration Date
2016-04-27
Last Update Date
2016-04-27
Business Address
JONNIE WHITCOMB LMT
1843 NE 3RD ST STE 2
BEND, OR 97701-3816
Phone number: 541-350-5431
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Mailing Address
JONNIE WHITCOMB LMT
20474 JACKLIGHT LN
BEND, OR 97702-3074
Phone number: 541-350-5431
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