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1205690989
JACKIE HIGGINBOTHAM
ASTORIA, OR
NPI
1205690989
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2024-02-12
Last Update Date
2024-02-12
Business Address
JACKIE HIGGINBOTHAM
1653 JEROME AVE
ASTORIA, OR 97103-3622
Phone number: 971-601-0791
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Mailing Address
JACKIE HIGGINBOTHAM
403 ALAMEDA AVE
ASTORIA, OR 97103-6301
Phone number: 360-518-5918
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