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1366137986
JACLYN CHRISTINE KOPALEK
PORTLAND, OR
NPI
1366137986
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 10004279)
Enumeration Date
2023-04-10
Last Update Date
2023-04-10
Business Address
JACLYN CHRISTINE KOPALEK LPN
6601 NE 78TH CT STE A3
PORTLAND, OR 97218-2823
Phone number: 503-252-3949
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Mailing Address
JACLYN CHRISTINE KOPALEK LPN
6601 NE 78TH CT STE A3
PORTLAND, OR 97218-2823
Phone number: 503-252-3949
Copy
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