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1003978610
MAUREEN L WIESE
PORTLAND, OR
NPI
1003978610
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Enumeration Date
2006-12-14
Last Update Date
2007-07-09
Business Address
Mrs. MAUREEN L WIESE C.Ped
11211 SE 82ND, AVE STE. D
PORTLAND, OR 97086
Phone number: 503-653-8700
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Mailing Address
Mrs. MAUREEN L WIESE C.Ped
11211 SE 82ND, AVE STE. D
PORTLAND, OR 97266
Phone number: 503-653-8700
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