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1730619719
VICTOR A WILSON
BEAVERTON, OR
NPI
1730619719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 62232)
Enumeration Date
2017-06-13
Last Update Date
2017-06-13
Business Address
VICTOR A WILSON DPT
735 SW 158TH AVE STE 160
BEAVERTON, OR 97006-4952
Phone number: 503-597-0035
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Mailing Address
VICTOR A WILSON DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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