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1558828772
WILLIAM T WOOTEN
HILLSBORO, OR
NPI
1558828772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 24864)
Enumeration Date
2019-02-24
Last Update Date
2019-02-24
Business Address
WILLIAM T WOOTEN
2167 NW 185TH AVE
HILLSBORO, OR 97124-7074
Phone number: 503-828-1311
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Mailing Address
WILLIAM T WOOTEN
6150 SW ALICE LN APT 205A
BEAVERTON, OR 97008-4677
Phone number: 971-270-6106
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