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1891047130
IAN JAMESON
FOREST GROVE, OR
NPI
1891047130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2012-10-10
Last Update Date
2012-10-10
Business Address
IAN JAMESON
2508 PACIFIC AVE APT. #2
FOREST GROVE, OR 97116-2377
Phone number: 208-351-7245
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Mailing Address
IAN JAMESON
2508 PACIFIC AVE APT. #2
FOREST GROVE, OR 97116-2377
Phone number: 208-351-7245
Copy
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