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Individual

SHAWNA JOSEPH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
348 NE 219TH AVE, GRESHAM, OR 97030-8419
(971) 322-7737
Mailing address
348 NE 219TH AVE, GRESHAM, OR 97030-8419
(971) 322-7737

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
07/20/2016
Last updated
07/20/2016
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