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1093394801
JOSHUA RANDALL WENTZ
WALLA WALLA, WA
NPI
1093394801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: WA 61084954)
Enumeration Date
2021-04-07
Last Update Date
2021-04-07
Business Address
JOSHUA RANDALL WENTZ
77 WAINWRIGHT DR
WALLA WALLA, WA 99362-3975
Phone number: 509-525-5200
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Mailing Address
JOSHUA RANDALL WENTZ
1360 SW GREELEY ST
COLLEGE PLACE, WA 99324-5004
Phone number: 509-301-8969
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