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1114183167
JEANETTE LOUISE GULLEDGE
MILWAUKIE, OR
NPI
1114183167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WI 307027)
Enumeration Date
2008-07-30
Last Update Date
2008-07-30
Business Address
Mrs. JEANETTE LOUISE GULLEDGE COTA
4560 SE INTERNATIONAL WAY SUITE 100 CONSONUS HEALTHCARE SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5167
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Mailing Address
Mrs. JEANETTE LOUISE GULLEDGE COTA
4560 SE INTERNATIONAL WAY SUITE 100 CONSONUS HEALTHCARE SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5167
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