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1649675000
MICHAEL WORRELL
PORTLAND, OR
NPI
1649675000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
372600000X Adult Companion
Enumeration Date
2014-10-28
Last Update Date
2014-10-28
Business Address
-- MICHAEL WORRELL
9125 SW 55TH AVE
PORTLAND, OR 97219-5018
Phone number: 503-238-0769
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Mailing Address
-- MICHAEL WORRELL
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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