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1083006050
CELESS JOLLYMORE
PORTLAND, OR
NPI
1083006050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-02-26
Last Update Date
2015-02-26
Business Address
-- CELESS JOLLYMORE
3716 NE MLK JR BLVD
PORTLAND, OR 97212-1111
Phone number: 503-288-8066
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Mailing Address
-- CELESS JOLLYMORE
3716 NE MLK JR BLVD
PORTLAND, OR 97212-1111
Phone number: 503-288-8066
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