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1417210956
JENNA QUINTANA
PORTLAND, OR
NPI
1417210956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: OR 201030503LPN)
Enumeration Date
2012-06-20
Last Update Date
2012-06-20
Business Address
Miss JENNA QUINTANA
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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Mailing Address
Miss JENNA QUINTANA
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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