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1356791677
JEFFREY JACKY
BEAVERTON, OR
NPI
1356791677
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122400000X Denturist
(Licence: OR DTDO709602)
Enumeration Date
2016-06-17
Last Update Date
2023-06-26
Business Address
JEFFREY JACKY DENTURIST LD
4925 SW GRIFFITH DR
BEAVERTON, OR 97005-2923
Phone number: 855-433-6825
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Mailing Address
JEFFREY JACKY DENTURIST LD
6950 NE CAMPUS WAY
HILLSBORO, OR 97124-5611
Phone number: 855-433-6825
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