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1982940169
BRET ANTHONY WONDERLICK
PORTLAND, OR
NPI
1982940169
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
231H00000X Audiologist
(Licence: OR 21957)
Enumeration Date
2012-12-17
Last Update Date
2013-06-12
Business Address
Mr. BRET ANTHONY WONDERLICK M.S. CCC-A
1849 NW KEARNEY ST SUITE 200
PORTLAND, OR 97209-1453
Phone number: 971-570-5387
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Mailing Address
Mr. BRET ANTHONY WONDERLICK M.S. CCC-A
2702 NE BRYCE ST
PORTLAND, OR 97212-1638
Phone number: 503-567-9392
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