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1104014745
MICHAEL LINCOLN
VANCOUVER, WA
NPI
1104014745
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
372600000X Adult Companion
Enumeration Date
2007-10-09
Last Update Date
2007-10-09
Business Address
-- MICHAEL LINCOLN
9805 NE 16TH ST
VANCOUVER, WA 98664-3027
Phone number: 503-238-0769
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Mailing Address
-- MICHAEL LINCOLN
9805 NE 16TH ST
VANCOUVER, WA 98664-3027
Phone number:
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