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1265612808
KIMBERLY FANNING
PORTLAND, OR
NPI
1265612808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
372600000X Adult Companion
Enumeration Date
2007-11-12
Last Update Date
2007-11-12
Business Address
-- KIMBERLY FANNING
3034 NE MLK
PORTLAND, OR 97212-3053
Phone number: 503-889-2523
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Mailing Address
-- KIMBERLY FANNING
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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