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1093337271
SORREL JOHNSON
PORTLAND, OR
NPI
1093337271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
372600000X Adult Companion
Enumeration Date
2020-05-11
Last Update Date
2020-05-11
Business Address
SORREL JOHNSON
2375 NW GLISAN ST
PORTLAND, OR 97210-3420
Phone number: 503-719-5209
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Mailing Address
SORREL JOHNSON
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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