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1972091304
JENIFER LYNN FOLAU
COOS BAY, OR
NPI
1972091304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172A00000X Driver
(Licence: OR 74641487)
Enumeration Date
2018-05-01
Last Update Date
2018-05-01
Business Address
Mrs. JENIFER LYNN FOLAU
63897 WALLACE RD
COOS BAY, OR 97420-8779
Phone number: 541-982-9793
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Mailing Address
Mrs. JENIFER LYNN FOLAU
63897 WALLACE RD
COOS BAY, OR 97420-8779
Phone number: 541-982-9793
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