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1982884490
ERICK COOPER
PORTLAND, OR
NPI
1982884490
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
372600000X Adult Companion
Enumeration Date
2007-11-13
Last Update Date
2007-11-13
Business Address
-- ERICK COOPER
3034 NE MLK
PORTLAND, OR 97212-3053
Phone number: 503-238-0769
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Mailing Address
-- ERICK COOPER
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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