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1144581414
THEODORE TRUESDELL
PORTLAND, OR
NPI
1144581414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
372600000X Adult Companion
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2012-06-04
Last Update Date
2013-11-04
Business Address
-- THEODORE TRUESDELL
310 NW FLANDERS ST
PORTLAND, OR 97209-3941
Phone number: 503-827-3949
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Mailing Address
-- THEODORE TRUESDELL
310 NW FLANDERS ST
PORTLAND, OR 97209-3941
Phone number: 503-827-3949
Copy
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