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1386932887
SHANNON R KERTH
PORTLAND, OR
NPI
1386932887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: OR 15680)
Enumeration Date
2011-07-18
Last Update Date
2015-05-27
Business Address
-- SHANNON R KERTH LMT
3102 NE DEKUM ST
PORTLAND, OR 97211-6638
Phone number: 503-777-7777
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Mailing Address
-- SHANNON R KERTH LMT
3102 NE DEKUM ST
PORTLAND, OR 97211-6638
Phone number:
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