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1396366480
MALLORY D COPELAND
PORTLAND, OR
NPI
1396366480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
372600000X Adult Companion
Enumeration Date
2020-04-30
Last Update Date
2020-04-30
Business Address
MALLORY D COPELAND
2270 SE CESAR E CHAVEZ BLVD
PORTLAND, OR 97214-5916
Phone number: 503-963-8337
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Mailing Address
MALLORY D COPELAND
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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