JOSHUA TRAVIS SOUTH

EUGENE, OR
NPI1851843023
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy246ZA2600X Specialist/Technologist, Other, Art, Medical
(Licence: OR  bap-fa-1001520)
Enumeration Date2016-11-03
Last Update Date2016-11-03
Business Address
-- JOSHUA TRAVIS SOUTH
160 E 18TH AVE
EUGENE, OR 97401-4160
Phone number: 541-790-9566
Mailing Address
-- JOSHUA TRAVIS SOUTH
160 E 18TH AVE
EUGENE, OR 97401-4160
Phone number: 541-790-9566
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