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1689952632
BENJAMIN JOHN ZIMMERMAN
PORTLAND, OR
NPI
1689952632
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
372600000X Adult Companion
Enumeration Date
2011-07-25
Last Update Date
2011-07-25
Business Address
-- BENJAMIN JOHN ZIMMERMAN B.A.
13317 SE POWELL BLVD
PORTLAND, OR 97236-3335
Phone number: 503-760-9606
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Mailing Address
-- BENJAMIN JOHN ZIMMERMAN B.A.
847 NE 19TH AVE SUITE 100
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
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