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1558892471
KELLY MCMULLEN
PORTLAND, OR
NPI
1558892471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
405300000X Prevention Professional
(Licence: OR 20211)
Enumeration Date
2017-03-22
Last Update Date
2017-03-22
Business Address
-- KELLY MCMULLEN Lmt
819 SE MORRISON ST SUITE 140
PORTLAND, OR 97214-6307
Phone number: 702-480-6028
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Mailing Address
-- KELLY MCMULLEN Lmt
819 SE MORRISON ST SUITE 140
PORTLAND, OR 97214-6307
Phone number: 702-480-6028
Copy
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