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1437509395
JENNIFER GOODWINE
MEDFORD, OR
NPI
1437509395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: OR 13242)
Enumeration Date
2016-06-21
Last Update Date
2016-06-21
Business Address
-- JENNIFER GOODWINE LMT
345 N BARTLETT ST 202
MEDFORD, OR 97501-5957
Phone number: 541-261-3384
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Mailing Address
-- JENNIFER GOODWINE LMT
2379 BELL CT #76
MEDFORD, OR 97504-1769
Phone number: 541-261-3384
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