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1265906598
PHYLIS WYSE
PORTLAND, OR
NPI
1265906598
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 089005236LPN)
Enumeration Date
2019-01-21
Last Update Date
2019-01-21
Business Address
PHYLIS WYSE
324 NW DAVIS ST
PORTLAND, OR 97209-3925
Phone number: 503-226-2203
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Mailing Address
PHYLIS WYSE
324 NW DAVIS ST
PORTLAND, OR 97209-3925
Phone number: 503-226-2203
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