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1457334310
SIRI JACKMAN
ONTARIO, OR
NPI
1457334310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: OR 077038713N5)
Enumeration Date
2005-11-23
Last Update Date
2007-07-08
Business Address
-- SIRI JACKMAN NMNP-PP
1219 SW 4TH AVE SUITE 2
ONTARIO, OR 97914-4516
Phone number: 541-889-2229
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Mailing Address
-- SIRI JACKMAN NMNP-PP
1219 SW 4TH AVE SUITE 2
ONTARIO, OR 97914-4516
Phone number: 541-889-2229
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