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1427740745
PATRICK JOSEPH JAMSA
MOSCOW, ID
NPI
1427740745
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR A722662)
Enumeration Date
2023-05-24
Last Update Date
2023-05-24
Business Address
-- PATRICK JOSEPH JAMSA
875 PERIMETER DR
MOSCOW, ID 83844-9803
Phone number: 503-734-6939
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Mailing Address
-- PATRICK JOSEPH JAMSA
325 ASH ST
SILVERTON, OR 97381-2205
Phone number: 503-873-3336
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