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1205174133
JUSTENE EMMA WALLIS
PORTLAND, OR
NPI
1205174133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
372600000X Adult Companion
Enumeration Date
2013-01-28
Last Update Date
2013-01-28
Business Address
-- JUSTENE EMMA WALLIS
2330 NE SISKIYOU ST
PORTLAND, OR 97212-2471
Phone number: 503-528-0757
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Mailing Address
-- JUSTENE EMMA WALLIS
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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