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1891329884
JOHANNA CLAIRE WILSON
HILLSBORO, OR
NPI
1891329884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2020-02-27
Last Update Date
2020-02-27
Business Address
JOHANNA CLAIRE WILSON
222 SE 8TH AVE # HPC2
HILLSBORO, OR 97123-4218
Phone number: 503-352-7217
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Mailing Address
JOHANNA CLAIRE WILSON
2514 FALLS ST
FOREST GROVE, OR 97116-2993
Phone number: 541-370-5114
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