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1033455134
SELENA MARIE CORNELIUS
PORTLAND, OR
NPI
1033455134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
372600000X Adult Companion
Enumeration Date
2012-12-17
Last Update Date
2012-12-17
Business Address
-- SELENA MARIE CORNELIUS
7511 SE HENRY ST
PORTLAND, OR 97206-6445
Phone number: 503-771-6061
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Mailing Address
-- SELENA MARIE CORNELIUS
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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