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1306033048
AESA JACKSON
MILWAUKIE, OR
NPI
1306033048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NV 0801)
Enumeration Date
2007-09-26
Last Update Date
2007-09-26
Business Address
AESA JACKSON OTR
4560 SE INTERNATIONAL WAY SUITE 100 CONSONUS HEALTHCARE SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5149
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Mailing Address
AESA JACKSON OTR
4560 SE INTERNATIONAL WAY SUITE 100 CONSONUS HEALTHCARE SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5149
Copy
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