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1417445545
SAM PATRICK GUADIZ
PORTLAND, OR
NPI
1417445545
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
372600000X Adult Companion
Enumeration Date
2018-04-24
Last Update Date
2018-04-24
Business Address
SAM PATRICK GUADIZ
847 NE 19TH AVE STE 100
PORTLAND, OR 97232-2684
Phone number:
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Mailing Address
SAM PATRICK GUADIZ
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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