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1831506815
ROBERT WILSON
PORTLAND, OR
NPI
1831506815
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Professional Name
ROBERT MARK WILSON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
136A00000X Dietetic Technician, Registered
(Licence: IL 525079)
Enumeration Date
2014-07-22
Last Update Date
2014-07-22
Business Address
-- ROBERT WILSON
7201 N INTERSTATE AVE
PORTLAND, OR 97217-5523
Phone number: 503-240-4088
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Mailing Address
-- ROBERT WILSON
7201 N INTERSTATE AVE
PORTLAND, OR 97217-5523
Phone number: 503-240-4088
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