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1841690005
JACKI PENNY
PORTLAND, OR
NPI
1841690005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
372600000X Adult Companion
Enumeration Date
2014-08-25
Last Update Date
2014-08-25
Business Address
-- JACKI PENNY
509 NE ALBERTA ST
PORTLAND, OR 97211-3976
Phone number: 503-249-7767
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Mailing Address
-- JACKI PENNY
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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