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1952027757
JACKIE MCGIVERN
PORTLAND, OR
NPI
1952027757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: OR C4624)
Enumeration Date
2022-10-13
Last Update Date
2022-10-13
Business Address
JACKIE MCGIVERN
328 NE FAILING ST
PORTLAND, OR 97212-1157
Phone number: 708-528-5225
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Mailing Address
JACKIE MCGIVERN
3707 SE SALMON ST
PORTLAND, OR 97214-4337
Phone number: 708-528-5225
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