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1912133604
AARON B JOLLEY
CLACKAMAS, OR
NPI
1912133604
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 200530050LPN)
Enumeration Date
2009-06-08
Last Update Date
2009-06-08
Business Address
-- AARON B JOLLEY
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-9750
Phone number: 503-572-9449
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Mailing Address
-- AARON B JOLLEY
326 NW 207TH AVE
BEAVERTON, OR 97006-2186
Phone number: 360-710-4772
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