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1306069190
LAWRENCE REYNOLDS
PORTLAND, OR
NPI
1306069190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
372600000X Adult Companion
Enumeration Date
2007-04-10
Last Update Date
2007-07-08
Business Address
-- LAWRENCE REYNOLDS
707 NW EVERETT ST
PORTLAND, OR 97209-3517
Phone number: 503-222-4906
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Mailing Address
-- LAWRENCE REYNOLDS
3056 NE HOLLADAY APT # 303
PORTLAND, OR 97232
Phone number:
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