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1093911679
ANN ELAINE WILSON
PORTLAND, OR
NPI
1093911679
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: OR 27 2903)
Enumeration Date
2007-06-21
Last Update Date
2007-07-08
Business Address
ANN ELAINE WILSON D.C.
4410 NE FREMONT ST
PORTLAND, OR 97213-1154
Phone number: 503-249-0114
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Mailing Address
ANN ELAINE WILSON D.C.
4410 NE FREMONT ST
PORTLAND, OR 97213-1154
Phone number: 503-249-0114
Copy
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