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1619387172
MICHAEL KORANTENG
GLADSTONE, OR
NPI
1619387172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
372600000X Adult Companion
Enumeration Date
2014-05-05
Last Update Date
2014-05-05
Business Address
-- MICHAEL KORANTENG
1035 PORTLAND AVE
GLADSTONE, OR 97027-2154
Phone number: 503-722-3877
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Mailing Address
-- MICHAEL KORANTENG
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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