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1679287833
JESSICA GONZALEZ
PORTLAND, OR
NPI
1679287833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
(Licence: OR 2759389)
Enumeration Date
2023-01-11
Last Update Date
2023-01-11
Business Address
JESSICA GONZALEZ
1245 SW GROVER ST APT 204
PORTLAND, OR 97239-3083
Phone number: 503-516-5485
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Mailing Address
JESSICA GONZALEZ
1245 SW GROVER ST APT 204
PORTLAND, OR 97239-3083
Phone number: 503-516-5485
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