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1487991428
JOSHUA DOUGLAS KENNEDY
LONGVIEW, WA
NPI
1487991428
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA P1 60159931)
Enumeration Date
2013-01-10
Last Update Date
2013-01-10
Business Address
-- JOSHUA DOUGLAS KENNEDY P1 60159931
1500 3RD AVE
LONGVIEW, WA 98632-3229
Phone number: 360-353-9046
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Mailing Address
-- JOSHUA DOUGLAS KENNEDY P1 60159931
109 CARRIAGE CT
KELSO, WA 98626-1891
Phone number: 360-423-3582
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