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1205976990
WYATT JAMES BROWN
LAKE OSWEGO, OR
NPI
1205976990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: OR 0876099-5)
Enumeration Date
2007-02-08
Last Update Date
2012-04-03
Business Address
Mr. WYATT JAMES BROWN C.Ped.
16679 BOONES FERRY RD STE 215
LAKE OSWEGO, OR 97035-4365
Phone number: 503-699-1911
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Mailing Address
Mr. WYATT JAMES BROWN C.Ped.
16679 BOONES FERRY RD STE 215
LAKE OSWEGO, OR 97035-4368
Phone number: 503-699-1911
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