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1720338965
JACKIE SUE CRAFT
PORTLAND, OR
NPI
1720338965
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Former Name
JACKIE SUE SCHOBER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 200030009LPN)
Enumeration Date
2012-09-14
Last Update Date
2012-09-14
Business Address
Mrs. JACKIE SUE CRAFT LPN
4531 SE BELMONT ST
PORTLAND, OR 97215-1675
Phone number: 503-215-6556
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Mailing Address
Mrs. JACKIE SUE CRAFT LPN
4531 SE BELMONT ST
PORTLAND, OR 97215-1675
Phone number: 503-215-6556
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