MICAH JAMES WILSON

ONTARIO, OR
NPI1760779904
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OR  201150063NP)
Enumeration Date2011-07-08
Last Update Date2011-07-08
Business Address
-- MICAH JAMES WILSON NP
1050 SW 3RD AVE STE 3200
ONTARIO, OR 97914-2193
Phone number: 541-881-7370
Mailing Address
-- MICAH JAMES WILSON NP
1050 SW 3RD AVE STE 3200
ONTARIO, OR 97914-2193
Phone number: 541-881-7370
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