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Individual

NYLISSA Y WILKIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
392 E MAIN AVE STE 1, SISTERS, OR 97759-9598
(505) 228-8111
Mailing address
771 E GREEN RIDGE AVE, SISTERS, OR 97759-5015
(505) 228-8111

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7996
OR

Other

Enumeration date
01/04/2023
Last updated
01/04/2023
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