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1417574807
JWANA B IBSIES
PORTLAND, OR
NPI
1417574807
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Former Name
JWANA JABR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
242T00000X Perfusionist
(Licence: OR 089004)
Enumeration Date
2020-07-01
Last Update Date
2020-07-01
Business Address
Mrs. JWANA B IBSIES CCP
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-505-2373
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Mailing Address
Mrs. JWANA B IBSIES CCP
12866 SW MORNINGSTAR DR
TIGARD, OR 97223-1784
Phone number: 503-505-2373
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