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1588102461
AMBER JEANNE HENRICKSON
PORTLAND, OR
NPI
1588102461
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133NN1002X Nutritionist, Nutrition, Education
(Licence: WA 1740)
Enumeration Date
2017-02-10
Last Update Date
2017-02-10
Business Address
-- AMBER JEANNE HENRICKSON NTP
4235 SW CORBETT AVE
PORTLAND, OR 97239-4203
Phone number: 503-789-7108
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Mailing Address
-- AMBER JEANNE HENRICKSON NTP
4235 SW CORBETT AVE
PORTLAND, OR 97239-4203
Phone number: 503-789-7108
Copy
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