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1366018343
JESSIKA FATU
PORTLAND, OR
NPI
1366018343
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QC1500X Clinic/Center, Community Health
Enumeration Date
2021-06-01
Last Update Date
2021-06-01
Business Address
JESSIKA FATU
6736 NE KILLINGSWORTH ST
PORTLAND, OR 97218-3338
Phone number: 503-351-3955
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Mailing Address
JESSIKA FATU
6736 NE KILLINGSWORTH ST
PORTLAND, OR 97218-3338
Phone number: 503-351-3955
Copy
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