JACKIE SUE CRAFT

PORTLAND, OR
NPI1720338965
Former NameJACKIE SUE SCHOBER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  200030009LPN)
Enumeration Date2012-09-14
Last Update Date2012-09-14
Business Address
Mrs. JACKIE SUE CRAFT LPN
4531 SE BELMONT ST
PORTLAND, OR 97215-1675
Phone number: 503-215-6556
Mailing Address
Mrs. JACKIE SUE CRAFT LPN
4531 SE BELMONT ST
PORTLAND, OR 97215-1675
Phone number: 503-215-6556
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