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1134524465
DESY P WILSON
GRANTS PASS, OR
NPI
1134524465
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: OR D9823)
Enumeration Date
2014-10-29
Last Update Date
2014-10-29
Business Address
-- DESY P WILSON DDS, MS
859 NE 7TH ST
GRANTS PASS, OR 97526-1634
Phone number: 541-474-0860
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Mailing Address
-- DESY P WILSON DDS, MS
859 NE 7TH ST
GRANTS PASS, OR 97526-1634
Phone number: 541-474-0860
Copy
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