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1982377644
SEAN JACKSON
PORTLAND, OR
NPI
1982377644
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-07-28
Last Update Date
2023-04-03
Business Address
SEAN JACKSON
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8311
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Mailing Address
SEAN JACKSON
3181 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239
Phone number: 503-494-8211
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