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1114169901
BRENDA KAY KILLINGSWORTH
TIGARD, OR
NPI
1114169901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: OR 15772)
Enumeration Date
2009-03-25
Last Update Date
2009-03-25
Business Address
-- BRENDA KAY KILLINGSWORTH LMT
14925 SW 133RD AVE
TIGARD, OR 97224-1604
Phone number: 503-307-9894
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Mailing Address
-- BRENDA KAY KILLINGSWORTH LMT
14925 SW 133RD AVE
TIGARD, OR 97224-1604
Phone number: 503-307-9894
Copy
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