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1275187189
JESSICA LEIGH JACOBS
PORTLAND, OR
NPI
1275187189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
Enumeration Date
2019-07-29
Last Update Date
2019-07-29
Business Address
Mrs. JESSICA LEIGH JACOBS EFDA
5025 SE 28TH AVE
PORTLAND, OR 97202-4445
Phone number: 503-238-4418
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Mailing Address
Mrs. JESSICA LEIGH JACOBS EFDA
5025 SE 28TH AVE
PORTLAND, OR 97202-4445
Phone number: 503-238-4418
Copy
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