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1083964704
JACQUELYN ALICE BENNETT
PORTLAND, OR
NPI
1083964704
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WG0600X Registered Nurse, Gerontology
(Licence: OR 200340760RN)
Enumeration Date
2012-09-11
Last Update Date
2012-09-11
Business Address
Mrs. JACQUELYN ALICE BENNETT RN
4540 NE GLISAN ST
PORTLAND, OR 97213-2333
Phone number: 503-215-3738
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Mailing Address
Mrs. JACQUELYN ALICE BENNETT RN
4540 NE GLISAN ST
PORTLAND, OR 97213-2333
Phone number: 503-215-3738
Copy
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