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1821238932
BRIAN S WILSON
CORVALLIS, OR
NPI
1821238932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 5887)
Enumeration Date
2009-03-02
Last Update Date
2010-12-03
Business Address
Mr. BRIAN S WILSON D.P.T.
2350 NW CENTURY DRIVE SUITE 100
CORVALLIS, OR 97330
Phone number: 541-754-1150
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Mailing Address
Mr. BRIAN S WILSON D.P.T.
444 NW ELKS DR
CORVALLIS, OR 97330-3745
Phone number:
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