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1306982384
KELLIE T WILSON
BEND, OR
NPI
1306982384
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2007-01-29
Last Update Date
2022-02-15
Business Address
KELLIE T WILSON MPT
2115 NE WYATT CT STE 103
BEND, OR 97701-7679
Phone number: 541-382-2070
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Mailing Address
KELLIE T WILSON MPT
330 NE MARSHALL AVE
BEND, OR 97701-4346
Phone number: 541-383-8179
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