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1114163714
MICHAEL BROSNAN
PORTLAND, OR
NPI
1114163714
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
372600000X Adult Companion
Enumeration Date
2009-01-02
Last Update Date
2009-01-02
Business Address
MICHAEL BROSNAN
5029 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Phone number: 503-402-8117
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Mailing Address
MICHAEL BROSNAN
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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