JOLENE MOURITSEN

SALEM, OR
NPI1609089606
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy126800000X Dental Assistant
(Licence: OR  114153)
Enumeration Date2007-05-07
Last Update Date2007-07-08
Business Address
Ms. JOLENE MOURITSEN EFDA
5135 SKYLINE RD. S.
SALEM, OR 97306
Phone number: 503-588-6560
Mailing Address
Ms. JOLENE MOURITSEN EFDA
4892 LIBERTY RD. S. #177
SALEM, OR 97306
Phone number: 503-378-9404