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1346581725
JENNIFER LYNN DAVIS
PORT ORCHARD, WA
NPI
1346581725
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: WA oc60056220)
Enumeration Date
2013-03-08
Last Update Date
2013-03-08
Business Address
-- JENNIFER LYNN DAVIS COTA/L
2031 POTTERY AVE
PORT ORCHARD, WA 98366-2010
Phone number: 360-876-8035
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Mailing Address
-- JENNIFER LYNN DAVIS COTA/L
707 S 57TH ST
TACOMA, WA 98408-5619
Phone number: 206-295-2777
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