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1194178988
JACKIE LEWIS
CORVALLIS, OR
NPI
1194178988
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 201406819LPN)
Enumeration Date
2016-07-18
Last Update Date
2016-07-18
Business Address
-- JACKIE LEWIS
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6835
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Mailing Address
-- JACKIE LEWIS
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6835
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