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1093592875
CALEB BRUCE WILSON
PORTLAND, OR
NPI
1093592875
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 26664)
Enumeration Date
2023-09-13
Last Update Date
2023-09-13
Business Address
Mr. CALEB BRUCE WILSON LMT
2100 NE BROADWAY ST STE 125
PORTLAND, OR 97232-1500
Phone number: 503-477-8222
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Mailing Address
Mr. CALEB BRUCE WILSON LMT
3615 SE HAWTHORNE BLVD APT 7
PORTLAND, OR 97214-5160
Phone number: 352-502-6036
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