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1245792142
SUSAN MARIE WETZEL
PORTLAND, OR
NPI
1245792142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OR LD-D-10187943)
Enumeration Date
2019-04-01
Last Update Date
2019-04-01
Business Address
SUSAN MARIE WETZEL RD LD
4540 NE GLISAN ST
PORTLAND, OR 97213-2333
Phone number: 503-215-5237
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Mailing Address
SUSAN MARIE WETZEL RD LD
4531 SE BELMONT ST STE 100
PORTLAND, OR 97215-1675
Phone number:
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