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1629307889
TIMOTHY P WILCOX
NEWBERG, OR
NPI
1629307889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 16771)
Enumeration Date
2009-12-17
Last Update Date
2015-03-17
Business Address
TIMOTHY P WILCOX LMT
408 E 1ST ST
NEWBERG, OR 97132-2938
Phone number: 503-538-0100
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Mailing Address
TIMOTHY P WILCOX LMT
408 E 1ST ST
NEWBERG, OR 97132-2938
Phone number: 503-538-0100
Copy
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