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1740744275
RONALD WAYNE JAGODNIK
PORTLAND, OR
NPI
1740744275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
372600000X Adult Companion
Enumeration Date
2019-01-29
Last Update Date
2019-01-29
Business Address
MR. RONALD WAYNE JAGODNIK
847 NE 19TH AVE
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
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Mailing Address
MR. RONALD WAYNE JAGODNIK
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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