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1619794708
EMMETT JUBILEE PENNINGTON-GUTHRIE
PORTLAND, OR
NPI
1619794708
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: OR 10032133)
Enumeration Date
2024-09-20
Last Update Date
2024-09-20
Business Address
EMMETT JUBILEE PENNINGTON-GUTHRIE RN
722 NE 162ND AVE
PORTLAND, OR 97230-5760
Phone number: 503-408-4705
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Mailing Address
EMMETT JUBILEE PENNINGTON-GUTHRIE RN
360 LESLIE ST SE
SALEM, OR 97301-3504
Phone number:
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