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1902191513
JENNIFER TICKNER
SILVERTON, OR
NPI
1902191513
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: OR 126088)
Enumeration Date
2011-06-10
Last Update Date
2011-06-10
Business Address
-- JENNIFER TICKNER CST/CSFA
10152 SILVERTON RD NE
SILVERTON, OR 97381-9306
Phone number: 503-480-9887
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Mailing Address
-- JENNIFER TICKNER CST/CSFA
10152 SILVERTON RD NE
SILVERTON, OR 97381-9306
Phone number: 503-480-9887
Copy
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