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1326321563
WESLEY W WALLIS
BEAVERTON, OR
NPI
1326321563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: OR n/a)
Enumeration Date
2011-09-23
Last Update Date
2011-09-23
Business Address
Mr. WESLEY W WALLIS DC
13430 SW SARATOGA LN
BEAVERTON, OR 97008-7602
Phone number: 503-250-0914
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Mailing Address
Mr. WESLEY W WALLIS DC
13430 SW SARATOGA LN
BEAVERTON, OR 97008-7602
Phone number: 503-250-0914
Copy
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