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1447420674
JACQUELINE T. FARLESS
SELMA, OR
NPI
1447420674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: OR 7399)
Enumeration Date
2008-03-04
Last Update Date
2008-03-04
Business Address
-- JACQUELINE T. FARLESS L.M.T.
5616 LAKE SHORE DR
SELMA, OR 97538-9711
Phone number: 541-659-9437
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Mailing Address
-- JACQUELINE T. FARLESS L.M.T.
PO BOX 714
SELMA, OR 97538-0714
Phone number: 541-597-4749
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