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1104008010
CHARLES VAWTER
PORTLAND, OR
NPI
1104008010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
372600000X Adult Companion
Enumeration Date
2007-12-03
Last Update Date
2007-12-03
Business Address
-- CHARLES VAWTER
3034 NE MLK
PORTLAND, OR 97212-3053
Phone number: 503-238-0769
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Mailing Address
-- CHARLES VAWTER
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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