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1962662668
WILLIAM JOHN LANE
WILSONVILLE, OR
NPI
1962662668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OR 1034519)
Enumeration Date
2008-06-16
Last Update Date
2008-07-24
Business Address
WILLIAM JOHN LANE OTR/L
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number: 503-570-3665
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Mailing Address
WILLIAM JOHN LANE OTR/L
149 BIRCH WOOD
EAGLE POINT, OR 97524-9717
Phone number: 541-890-7716
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