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1629140884
DIANE MICHELLE JENSEN-RUCKER
PORTLAND, OR
NPI
1629140884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: OR 7404)
Enumeration Date
2006-11-14
Last Update Date
2007-07-08
Business Address
MRS. DIANE MICHELLE JENSEN-RUCKER LMT
2330 NW FLANDERS ST SUITE 205
PORTLAND, OR 97210-3442
Phone number: 503-957-8885
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Mailing Address
MRS. DIANE MICHELLE JENSEN-RUCKER LMT
2330 NW FLANDERS ST SUITE 205
PORTLAND, OR 97210-3442
Phone number: 503-957-8885
Copy
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