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1992587521
JENNY LYNN JOHNSON
PORTLAND, OR
NPI
1992587521
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Other Name
COYOTE STONE TEXAS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2023-10-18
Last Update Date
2023-10-18
Business Address
JENNY LYNN JOHNSON
13317 SE POWELL BLVD
PORTLAND, OR 97236-3335
Phone number: 503-763-9606
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Mailing Address
JENNY LYNN JOHNSON
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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