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1750962155
COLLEEN ELIZABETH WILSON
ROSEBURG, OR
NPI
1750962155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225800000X Recreation Therapist
(Licence: OR 80107)
Enumeration Date
2021-04-16
Last Update Date
2021-04-16
Business Address
COLLEEN ELIZABETH WILSON CTRS
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97471-6523
Phone number: 541-440-1000
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Mailing Address
COLLEEN ELIZABETH WILSON CTRS
4885 ASTER ST APT 90
SPRINGFIELD, OR 97478-6899
Phone number: 425-953-3399
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