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1285467720
MICAH ALDEN WYLIE
EUGENE, OR
NPI
1285467720
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 17838)
Enumeration Date
2024-08-21
Last Update Date
2024-08-21
Business Address
Mr. MICAH ALDEN WYLIE SLP
3720 N CLAREY ST
EUGENE, OR 97402-8744
Phone number: 458-201-4936
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Mailing Address
Mr. MICAH ALDEN WYLIE SLP
1185 FIR ACRES DR
EUGENE, OR 97401-1884
Phone number: 310-666-8623
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