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1083991228
DAVID PATRICK STANDIFORD
WILSONVILLE, OR
NPI
1083991228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
372600000X Adult Companion
Enumeration Date
2011-11-15
Last Update Date
2011-11-15
Business Address
-- DAVID PATRICK STANDIFORD BS
29197 SW ORLEANS AVE
WILSONVILLE, OR 97070-7388
Phone number: 503-427-0182
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Mailing Address
-- DAVID PATRICK STANDIFORD BS
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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