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1912557117
JESSICA ELAINE SHELNUTT
CLACKAMAS, OR
NPI
1912557117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: OR 000412)
Enumeration Date
2019-09-19
Last Update Date
2019-09-19
Business Address
JESSICA ELAINE SHELNUTT
10209 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-9782
Phone number: 503-353-3905
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Mailing Address
JESSICA ELAINE SHELNUTT
5025 SE 28TH AVE
PORTLAND, OR 97202-4445
Phone number: 503-286-6868
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