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1457923948
JESSE BARD CROSSNO
PORTLAND, OR
NPI
1457923948
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Former Name
LAURA ABIGAIL CROSSNO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2021-07-14
Last Update Date
2021-07-14
Business Address
JESSE BARD CROSSNO
738 NE DAVIS ST
PORTLAND, OR 97232-2931
Phone number: 503-542-4603
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Mailing Address
JESSE BARD CROSSNO
738 NE DAVIS ST
PORTLAND, OR 97232-2931
Phone number:
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