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1164791992
MARY JANE HAAKE
PORTLAND, OR
NPI
1164791992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246ZA2600X Specialist/Technologist, Other, Art, Medical
(Licence: OR EPT-T-652245)
Enumeration Date
2011-12-22
Last Update Date
2011-12-22
Business Address
-- MARY JANE HAAKE CPCP
1017 SW MORRISON ST 205
PORTLAND, OR 97205-2635
Phone number: 503-224-8416
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Mailing Address
-- MARY JANE HAAKE CPCP
1017 SW MORRISON ST 205
PORTLAND, OR 97205-2635
Phone number: 503-224-8416
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