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1215118716
SUSAN MARIE WILMOTH
PORTLAND, OR
NPI
1215118716
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR AC01133)
Enumeration Date
2007-11-26
Last Update Date
2007-11-26
Business Address
Ms. SUSAN MARIE WILMOTH L. Ac.
5525 E BURNSIDE ST
PORTLAND, OR 97215-1258
Phone number: 503-333-3722
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Mailing Address
Ms. SUSAN MARIE WILMOTH L. Ac.
5525 E BURNSIDE ST
PORTLAND, OR 97215-1258
Phone number: 503-333-3722
Copy
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