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1568509578
GERALD MANSFIELD
PORTLAND, OR
NPI
1568509578
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
372600000X Adult Companion
Enumeration Date
2007-01-31
Last Update Date
2007-07-08
Business Address
Mr. GERALD MANSFIELD
2375 NW GLISAN ST
PORTLAND, OR 97210-3420
Phone number: 503-243-2236
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Mailing Address
Mr. GERALD MANSFIELD
1309 N KILLINGSWORTH ST #3
PORTLAND, OR 97217-4562
Phone number: 503-351-6297
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