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1295002855
JORDAN TAYLOR HASELNUS
PORTLAND, OR
NPI
1295002855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2011-11-28
Last Update Date
2011-11-28
Business Address
-- JORDAN TAYLOR HASELNUS
1904 SE DIVISION ST
PORTLAND, OR 97202-1146
Phone number: 503-517-8663
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Mailing Address
-- JORDAN TAYLOR HASELNUS
1904 SE DIVISION ST
PORTLAND, OR 97202-1146
Phone number:
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