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1306055215
KELVIN ANDRE PITTMAN
PORTLAND, OR
NPI
1306055215
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
372600000X Adult Companion
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
Mr. KELVIN ANDRE PITTMAN
2130 SW 5TH AVE
PORTLAND, OR 97201-4976
Phone number: 503-963-7765
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Mailing Address
Mr. KELVIN ANDRE PITTMAN
3926 N MICHIGAN AVE
PORTLAND, OR 97227-1151
Phone number: 971-344-6843
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