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1518304443
JOSHUA JAMES DAVENPORT
GRESHAM, OR
NPI
1518304443
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 19744)
Enumeration Date
2013-06-01
Last Update Date
2013-06-01
Business Address
-- JOSHUA JAMES DAVENPORT LMT
837 E POWELL BLVD
GRESHAM, OR 97030-7617
Phone number: 503-669-9495
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Mailing Address
-- JOSHUA JAMES DAVENPORT LMT
16351 SE SCORIA LN
DAMASCUS, OR 97089-9136
Phone number: 503-853-6527
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