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1114231768
MELANIE ANNE LONG
WILSONVILLE, OR
NPI
1114231768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
372600000X Adult Companion
Enumeration Date
2010-08-05
Last Update Date
2014-10-06
Business Address
-- MELANIE ANNE LONG
29197 SW ORLEANS AVE
WILSONVILLE, OR 97070-7388
Phone number: 503-427-0182
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Mailing Address
-- MELANIE ANNE LONG
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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