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1366888489
DARRELL WADE
PORTLAND, OR
NPI
1366888489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2013-05-15
Last Update Date
2013-05-15
Business Address
-- DARRELL WADE
1904 SE DIVISION ST
PORTLAND, OR 97202-1146
Phone number: 503-517-8663
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Mailing Address
-- DARRELL WADE
1904 SE DIVISION ST
PORTLAND, OR 97202-1146
Phone number: 503-517-8663
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