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1164896791
JAN HAXBY
PORTLAND, OR
NPI
1164896791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: OR RPH0007582)
Enumeration Date
2015-11-19
Last Update Date
2015-11-19
Business Address
-- JAN HAXBY RPh
4411 SW VERMONT ST
PORTLAND, OR 97219-1020
Phone number: 503-494-2098
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Mailing Address
-- JAN HAXBY RPh
2942 SW ARNOLD ST
PORTLAND, OR 97219-7534
Phone number:
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