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1417493743
DEMETRIA BULLOCK
PORTLAND, OR
NPI
1417493743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
372600000X Adult Companion
Enumeration Date
2017-01-10
Last Update Date
2017-01-10
Business Address
-- DEMETRIA BULLOCK
847 NE 19TH AVE 100
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
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Mailing Address
-- DEMETRIA BULLOCK
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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