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1457751760
JESSICA KINGSBURY
DALLAS, OR
NPI
1457751760
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 201405480NP-PP)
Enumeration Date
2014-08-25
Last Update Date
2015-09-01
Business Address
Mrs. JESSICA KINGSBURY
1000 SE UGLOW AVE
DALLAS, OR 97338-2645
Phone number: 503-623-8376
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Mailing Address
Mrs. JESSICA KINGSBURY
1000 SE UGLOW AVE
DALLAS, OR 97338-2645
Phone number: 503-623-8376
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