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1609089606
JOLENE MOURITSEN
SALEM, OR
NPI
1609089606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
126800000X Dental Assistant
(Licence: OR 114153)
Enumeration Date
2007-05-07
Last Update Date
2007-07-08
Business Address
Ms. JOLENE MOURITSEN EFDA
5135 SKYLINE RD. S.
SALEM, OR 97306
Phone number: 503-588-6560
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Mailing Address
Ms. JOLENE MOURITSEN EFDA
4892 LIBERTY RD. S. #177
SALEM, OR 97306
Phone number: 503-378-9404
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