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1841400074
SHANNON LEANN WILSON
PORTLAND, OR
NPI
1841400074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 5187)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
Mrs. SHANNON LEANN WILSON PT
4805 NE GLISAN ST
PORTLAND, OR 97213-2933
Phone number: 503-215-6059
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Mailing Address
Mrs. SHANNON LEANN WILSON PT
2719 NE 94TH ST
VANCOUVER, WA 98665-9589
Phone number: 316-304-1784
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