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1497251730
MITCHEL JAMES DAULT
PORTLAND, OR
NPI
1497251730
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2018-04-04
Last Update Date
2018-04-04
Business Address
MITCHEL JAMES DAULT
018 SW BOUNDARY CT
PORTLAND, OR 97239-3939
Phone number: 503-222-9661
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Mailing Address
MITCHEL JAMES DAULT
018 SW BOUNDARY CT
PORTLAND, OR 97239-3939
Phone number: 503-222-9661
Copy
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