KELLI MARION SWANSON JAECKS

SALEM, OR
NPI1558559179
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  H3590)
Enumeration Date2007-10-09
Last Update Date2007-10-09
Business Address
KELLI MARION SWANSON JAECKS RDH
380 JERRIS AVE SE
SALEM, OR 97302-5278
Phone number: 503-315-2222
Mailing Address
KELLI MARION SWANSON JAECKS RDH
380 JERRIS AVE SE
SALEM, OR 97302-5278
Phone number: 503-315-2222
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