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1396014114
JANNELLE MARIE FUKUJI
PORTLAND, OR
NPI
1396014114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OR PA171607)
Enumeration Date
2011-12-22
Last Update Date
2019-03-26
Business Address
JANNELLE MARIE FUKUJI PA-C
9495 SW LOCUST ST SUITE A
PORTLAND, OR 97223-6683
Phone number: 503-696-9011
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Mailing Address
JANNELLE MARIE FUKUJI PA-C
9495 SW LOCUST ST SUITE A
PORTLAND, OR 97223-6683
Phone number: 503-696-9011
Copy
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