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1093008088
JESSICA SADIE BURCHETT
PORTLAND, OR
NPI
1093008088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2011-05-24
Last Update Date
2011-06-01
Business Address
-- JESSICA SADIE BURCHETT
11261 NE KNOTT ST
PORTLAND, OR 97220-1704
Phone number: 503-253-8883
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Mailing Address
-- JESSICA SADIE BURCHETT
11261 NE KNOTT ST
PORTLAND, OR 97220-1704
Phone number:
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