JILLIAN ELISE NYBAKKEN

SALEM, OR
NPI1265053425
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OR  LD-D-10204599)
Enumeration Date2020-04-29
Last Update Date2020-04-29
Business Address
JILLIAN ELISE NYBAKKEN RD, LD
890 OAK ST SE
SALEM, OR 97301-3905
Phone number: 503-561-5200
Mailing Address
JILLIAN ELISE NYBAKKEN RD, LD
5815 RED LEAF DR S APT 217
SALEM, OR 97306-3025
Phone number: 818-464-8223
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