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1326493446
TRENT D. WILSON
PORTLAND, OR
NPI
1326493446
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Entity Type
Organization
Authorized Contact
TRENT DANIEL WILSON
Lmt
503-255-7000
Organization Subpart ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 10366)
Enumeration Date
2016-04-26
Last Update Date
2016-04-26
Business Address
TRENT D. WILSON
8401 NE HALSEY ST. SUITE 101
PORTLAND, OR 97220
Phone number: 503-255-7000
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Mailing Address
TRENT D. WILSON
957 NE 110TH AVE
PORTLAND, OR 97220
Phone number: 503-255-7000
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