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1518634047
JESSIKA LYNN OLDHAM
FORT RUCKER, AL
NPI
1518634047
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: CO PN.0330879)
Enumeration Date
2021-08-24
Last Update Date
2021-08-24
Business Address
JESSIKA LYNN OLDHAM LPN
301 ANDREWS AVENUE
FORT RUCKER, AL 36362
Phone number: 503-507-3664
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Mailing Address
JESSIKA LYNN OLDHAM LPN
301 ANDREWS AVENUE
FORT RUCKER, AL 36362
Phone number: 503-507-3664
Copy
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