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1396913547
TRISTIE KAY JOHNSON
PORTLAND, OR
NPI
1396913547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
372600000X Adult Companion
Enumeration Date
2008-02-11
Last Update Date
2008-02-11
Business Address
-- TRISTIE KAY JOHNSON
2330 NE SISKIYOU ST
PORTLAND, OR 97212-2471
Phone number: 503-528-0757
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Mailing Address
-- TRISTIE KAY JOHNSON
17740 SE HARRISON ST
PORTLAND, OR 97233-5122
Phone number: 503-265-8890
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