JENELLE LYNN DICKSON

SPRINGFIELD, OR
NPI1740866094
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: OR  BAP-E-10254980)
Enumeration Date2021-03-18
Last Update Date2025-07-12
Business Address
JENELLE LYNN DICKSON LE
2942 FENYA ST
SPRINGFIELD, OR 97477-7945
Phone number: 541-810-0884
Mailing Address
JENELLE LYNN DICKSON LE
2942 FENYA ST
SPRINGFIELD, OR 97477-7945
Phone number: 541-810-0884
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