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1164882585
ALAN WHEATLEY
GRESHAM, OR
NPI
1164882585
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C4051)
Enumeration Date
2016-02-26
Last Update Date
2016-02-26
Business Address
-- ALAN WHEATLEY
504 SE MYRTLEWOOD LN
GRESHAM, OR 97080-8165
Phone number: 971-231-4611
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Mailing Address
-- ALAN WHEATLEY
12135 SE LINCOLN ST
PORTLAND, OR 97216-4064
Phone number: 971-231-4611
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