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1235823857
JADE FUNTANILLA KEKAUALUA
TUALATIN, OR
NPI
1235823857
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 10018910)
Enumeration Date
2023-06-06
Last Update Date
2024-04-05
Business Address
Ms. JADE FUNTANILLA KEKAUALUA RN
19185 SW 90TH AVE
TUALATIN, OR 97062-7558
Phone number: 503-608-9694
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Mailing Address
Ms. JADE FUNTANILLA KEKAUALUA RN
19185 SW 90TH AVE
TUALATIN, OR 97062-7558
Phone number: 503-608-9694
Copy
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