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1134461585
JENNA BONNICHSEN
PORTLAND, OR
NPI
1134461585
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-03-25
Last Update Date
2013-03-25
Business Address
Miss JENNA BONNICHSEN
3602 SE 28TH PL APT 4
PORTLAND, OR 97202-3084
Phone number: 701-793-1109
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Mailing Address
Miss JENNA BONNICHSEN
691 JOHN WESLEY DOBBS AVE NE UNIT Q
ATLANTA, GA 30312-1690
Phone number:
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