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1538479340
KIMBERLY MARIE MILLICAN
PORTLAND, OR
NPI
1538479340
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
372600000X Adult Companion
Enumeration Date
2010-10-14
Last Update Date
2010-10-14
Business Address
-- KIMBERLY MARIE MILLICAN
847 NE 19TH AVE
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
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Mailing Address
-- KIMBERLY MARIE MILLICAN
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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