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1861850661
JANETTE J BANASIAK
MONMOUTH, OR
NPI
1861850661
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: OR 762296)
Enumeration Date
2016-02-08
Last Update Date
2016-02-08
Business Address
-- JANETTE J BANASIAK 762296
422 HEFFLEY ST S
MONMOUTH, OR 97361-9728
Phone number: 503-983-8077
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Mailing Address
-- JANETTE J BANASIAK 762296
422 HEFFLEY ST S
MONMOUTH, OR 97361-9728
Phone number: 503-983-8077
Copy