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1194953661
JOSIAH D FAVILLE
SALEM, OR
NPI
1194953661
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 5945)
Enumeration Date
2009-06-23
Last Update Date
2014-03-21
Business Address
JOSIAH D FAVILLE D.P.T.
1875 GOLF COURSE RD S
SALEM, OR 97302-9622
Phone number: 503-585-4824
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Mailing Address
JOSIAH D FAVILLE D.P.T.
16083 SW UPPER BOONES FERRY RD SUITE 300
TIGARD, OR 97224-7736
Phone number: 800-219-8835
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