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1265991988
NICHOLAS E WILDI
PORTLAND, OR
NPI
1265991988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 63117)
Enumeration Date
2019-03-13
Last Update Date
2019-03-13
Business Address
NICHOLAS E WILDI
1034 SE 96TH AVE
PORTLAND, OR 97216-1150
Phone number: 503-546-7640
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Mailing Address
NICHOLAS E WILDI
1200 CORPORATE DR STE 400
BIRMINGHAM, AL 35242-5424
Phone number: 423-682-8840
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