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1245663608
JACK LEMUEL DAVIDSON
PORTLAND, OR
NPI
1245663608
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2013-08-20
Last Update Date
2013-08-21
Business Address
Mr. JACK LEMUEL DAVIDSON
707 NE COUCH ST
PORTLAND, OR 97232-2922
Phone number: 503-542-4603
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Mailing Address
Mr. JACK LEMUEL DAVIDSON
3710 N ARLINGTON PL
PORTLAND, OR 97217-7212
Phone number: 503-432-3975
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