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1073974051
JESSE DESHAZO
PORTLAND, OR
NPI
1073974051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2016-03-17
Last Update Date
2016-03-17
Business Address
-- JESSE DESHAZO
018 SW BOUNDARY CT
PORTLAND, OR 97239-3939
Phone number: 503-222-9661
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Mailing Address
-- JESSE DESHAZO
018 SW BOUNDARY CT
PORTLAND, OR 97239-3939
Phone number: 503-222-9661
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