LANA JEAN

SALEM, OR
NPI1467996652
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: OR  4116)
Enumeration Date2016-12-07
Last Update Date2016-12-07
Business Address
-- LANA JEAN
752 HAWTHORNE AVE NE
SALEM, OR 97301-4675
Phone number: 503-399-0204
Mailing Address
-- LANA JEAN
752 HAWTHORNE AVE NE
SALEM, OR 97301-4675
Phone number: 503-399-0204
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