JACQUELYN BOLIBA SOULE

PORTLAND, OR
NPI1245844935
Former NameJACQUELYN BOLIBA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-09-01
Last Update Date2020-09-01
Business Address
JACQUELYN BOLIBA SOULE
13317 SE POWELL BLVD
PORTLAND, OR 97236-3335
Phone number: 503-760-9696
Mailing Address
JACQUELYN BOLIBA SOULE
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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