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1699190751
MICHELLE ANN LU
PORTLAND, OR
NPI
1699190751
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Former Name
MICHELLE ANN SUAZO GAMULO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
(Licence: WA NAR.NA.60451427)
Enumeration Date
2014-02-26
Last Update Date
2014-02-26
Business Address
-- MICHELLE ANN LU
11124 NE HALSEY ST # 572
PORTLAND, OR 97220-2021
Phone number: 888-354-2758
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Mailing Address
-- MICHELLE ANN LU
11124 NE HALSEY ST # 572
PORTLAND, OR 97220-2021
Phone number:
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