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1366087991
JACOB LEE PRATT
PORTLAND, OR
NPI
1366087991
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-11-06
Last Update Date
2019-11-06
Business Address
JACOB LEE PRATT
18417 SE OAK ST
PORTLAND, OR 97233-4850
Phone number: 503-661-5455
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Mailing Address
JACOB LEE PRATT
18417 SE OAK ST
PORTLAND, OR 97233-4850
Phone number: 503-661-5455
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