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1003493479
SHANA AXTHELM
PORTLAND, OR
NPI
1003493479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
372600000X Adult Companion
Enumeration Date
2021-03-24
Last Update Date
2021-03-24
Business Address
SHANA AXTHELM
847 NE 19TH AVE
PORTLAND, OR 97232-2684
Phone number: 503-760-9606
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Mailing Address
SHANA AXTHELM
847 NE 19TH AVE
PORTLAND, OR 97232-2684
Phone number: 503-760-9606
Copy
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