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1639848013
CARMEN DOLORES WILSON
MCMINNVILLE, OR
NPI
1639848013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2021-09-09
Last Update Date
2022-07-26
Business Address
CARMEN DOLORES WILSON
433 NE 17TH ST APT 7
MCMINNVILLE, OR 97128-3303
Phone number: 714-812-3992
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Mailing Address
CARMEN DOLORES WILSON
627 NE EVANS ST
MCMINNVILLE, OR 97128-3923
Phone number: 503-434-7523
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