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1477902070
JOSHUA ALLEN HENNIS
FORT IRWIN, CA
NPI
1477902070
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
Enumeration Date
2016-06-06
Last Update Date
2016-06-06
Business Address
Mr. JOSHUA ALLEN HENNIS X2
4TH & INNER LOOP ROAD BLDG 171
FORT IRWIN, CA 92310
Phone number: 719-526-5537
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Mailing Address
Mr. JOSHUA ALLEN HENNIS X2
1631 WETZEL AVE BLDG 815
COLORADO SPRINGS, CO 80913-4095
Phone number: 719-526-5537
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