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1023347945
JOHN GORDON WILSON
BAKER CITY, OR
NPI
1023347945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122400000X Denturist
(Licence: OR DTDO10126518)
Enumeration Date
2009-12-24
Last Update Date
2012-02-02
Business Address
-- JOHN GORDON WILSON L.D.
715 NICOLE WAY
BAKER CITY, OR 97814-6183
Phone number: 541-523-8529
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Mailing Address
-- JOHN GORDON WILSON L.D.
715 NICOLE WAY
BAKER CITY, OR 97814-6183
Phone number: 541-523-8529
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