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1548466477
JESSICA JO TACKE-HANSON
MINNETONKA, MN
NPI
1548466477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 200650066NP)
Enumeration Date
2007-06-26
Last Update Date
2020-07-13
Business Address
JESSICA JO TACKE-HANSON FNP
9900 BREN RD E MAIL ROUTE MN 008-B213
MINNETONKA, MN 55343-9664
Phone number: 503-430-9777
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Mailing Address
JESSICA JO TACKE-HANSON FNP
17360 S HOLLY LN
OREGON CITY, OR 97045-9010
Phone number: 503-320-6596
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