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1720470438
SUSAN GILLUM
WILSONVILLE, OR
NPI
1720470438
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NE 1341)
Enumeration Date
2015-03-04
Last Update Date
2015-03-04
Business Address
-- SUSAN GILLUM
25117 SW PARKWAY AVE SUITE D
WILSONVILLE, OR 97070-9697
Phone number: 671-224-2040
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Mailing Address
-- SUSAN GILLUM
25117 SW PARKWAY AVE SUITE D
WILSONVILLE, OR 97070-9697
Phone number: 671-224-2040
Copy
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