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1245827849
AUSTIN WILSON
ROSEBURG, OR
NPI
1245827849
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-12-29
Last Update Date
2020-12-29
Business Address
AUSTIN WILSON
548 SE JACKSON ST
ROSEBURG, OR 97470-4983
Phone number: 541-440-3532
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Mailing Address
AUSTIN WILSON
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-440-3532
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