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1114344603
JENNIFER RENEE WORTH
MILWAUKIE, OR
NPI
1114344603
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OR 297943)
Enumeration Date
2014-03-24
Last Update Date
2014-03-24
Business Address
JENNIFER RENEE WORTH COTA
4560 SE INTERNATIONAL WAY SUITE 101 CONSONUS FACILITIES
MILWAUKIE, OR 97222
Phone number: 971-206-5202
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Mailing Address
JENNIFER RENEE WORTH COTA
5694 NW 179TH AVE
PORTLAND, OR 97229-1774
Phone number:
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