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1972630408
JOEL JAMES MARICK
PORTLAND, OR
NPI
1972630408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR AT-AT-10113264)
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
-- JOEL JAMES MARICK ATC-R
5000 N WILLAMETTE BLVD
PORTLAND, OR 97203-5743
Phone number: 503-943-7462
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Mailing Address
-- JOEL JAMES MARICK ATC-R
5211 NE CHATEAU DR
VANCOUVER, WA 98661-2751
Phone number: 360-694-1284
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