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1235786476
JENNIE WONG
PORTLAND, OR
NPI
1235786476
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: OR 0007917)
Enumeration Date
2019-08-22
Last Update Date
2019-08-22
Business Address
JENNIE WONG
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-1023
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Mailing Address
JENNIE WONG
13515 SW 122ND AVE
TIGARD, OR 97223-2877
Phone number:
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