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1932392867
JACLYN LEE BLOOM
MILWAUKIE, OR
NPI
1932392867
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OR 00000055)
Enumeration Date
2007-08-23
Last Update Date
2007-08-23
Business Address
MS. JACLYN LEE BLOOM COTA
4560 SE INTERNATIONAL WAY SUITE 100 CONSONUS HEALTHCARE SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5149
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Mailing Address
MS. JACLYN LEE BLOOM COTA
4560 SE INTERNATIONAL WAY SUITE 100 CONSONUS HEALTHCARE SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5149
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