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1336565712
SHAWN KELLY
PORTLAND, OR
NPI
1336565712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
372600000X Adult Companion
Enumeration Date
2014-03-10
Last Update Date
2014-03-10
Business Address
-- SHAWN KELLY
945 NE 165TH AVE
PORTLAND, OR 97230-6148
Phone number: 503-408-8100
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Mailing Address
-- SHAWN KELLY
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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