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1740969070
JOSHUA SAMUEL ENJATI
BEAVERTON, OR
NPI
1740969070
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-07-13
Last Update Date
2023-07-13
Business Address
JOSHUA SAMUEL ENJATI
16535 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97003-5143
Phone number: 503-649-5651
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Mailing Address
JOSHUA SAMUEL ENJATI
1150 NE 91ST AVE APT 406
HILLSBORO, OR 97006-7515
Phone number: 509-990-2693
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