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1306558937
JOSHUA ENNIS
CLACKAMAS, OR
NPI
1306558937
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2022-12-14
Last Update Date
2022-12-19
Business Address
JOSHUA ENNIS
11977 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-9312
Phone number: 503-486-6944
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Mailing Address
JOSHUA ENNIS
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number:
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