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1578847737
GEORGE I. HANNIBAL
PORTLAND, OR
NPI
1578847737
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Entity Type
Organization
Authorized Contact
GEORGE IVAR. HANNIBAL
Owner/Operator
503-254-1545
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: OR L525)
Enumeration Date
2011-10-06
Last Update Date
2011-10-06
Business Address
GEORGE I. HANNIBAL
1419 NE 69TH AVE
PORTLAND, OR 97213-5301
Phone number: 503-254-1545
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Mailing Address
GEORGE I. HANNIBAL
1419 NE 69TH AVE
PORTLAND, OR 97213-5301
Phone number: 503-254-1545
Copy
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