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1164689147
JACOB KALIKIMAKA WILKS
PORTLAND, OR
NPI
1164689147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
372600000X Adult Companion
Enumeration Date
2008-05-19
Last Update Date
2008-05-19
Business Address
-- JACOB KALIKIMAKA WILKS
3909 SE 70TH AVE
PORTLAND, OR 97206-2525
Phone number: 503-777-2278
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Mailing Address
-- JACOB KALIKIMAKA WILKS
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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