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1114270691
JOSHUA DAVIS
SOUTH PORTLAND, ME
NPI
1114270691
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: ME MT4617)
Enumeration Date
2012-10-20
Last Update Date
2015-02-17
Business Address
-- JOSHUA DAVIS LMT
629 MAIN ST
SOUTH PORTLAND, ME 04106-5415
Phone number: 207-592-0884
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Mailing Address
-- JOSHUA DAVIS LMT
629 MAIN ST
SOUTH PORTLAND, ME 04106-5415
Phone number: 207-592-0884
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