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1578014072
JESSICA BENNETT
CASCADE LOCKS, OR
NPI
1578014072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
146M00000X Emergency Medical Technician, Intermediate
(Licence: OR 133396)
Enumeration Date
2016-10-19
Last Update Date
2016-10-19
Business Address
-- JESSICA BENNETT
25 SE WANAPA ST
CASCADE LOCKS, OR 97014-7002
Phone number: 541-374-8510
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Mailing Address
-- JESSICA BENNETT
PO BOX 308
CASCADE LOCKS, OR 97014-0308
Phone number:
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