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1952759151
JORDAN KERKVLIET
PORTLAND, OR
NPI
1952759151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
247200000X Technician, Other
Enumeration Date
2016-05-27
Last Update Date
2016-05-27
Business Address
-- JORDAN KERKVLIET RBT
3720 SW BOND AVE UNIT 1816
PORTLAND, OR 97239-4576
Phone number: 503-877-3996
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Mailing Address
-- JORDAN KERKVLIET RBT
3720 SW BOND AVE UNIT 1816
PORTLAND, OR 97239-4576
Phone number: 503-877-3996
Copy
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