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1104448182
MARCUS JACK SWINKELS
PORTLAND, OR
NPI
1104448182
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Other Name
JACK SWINKELS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-05-12
Last Update Date
2020-05-12
Business Address
MARCUS JACK SWINKELS
7621 N PORTSMOUTH AVE
PORTLAND, OR 97203-5953
Phone number: 503-240-7599
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Mailing Address
MARCUS JACK SWINKELS
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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