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1154025815
ALEC CHACE BARTLETT
PHOENIX, AZ
NPI
1154025815
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-28
Last Update Date
2023-03-28
Business Address
ALEC CHACE BARTLETT DO
400 N 32ND ST
PHOENIX, AZ 85008-6205
Phone number: 602-839-3927
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Mailing Address
ALEC CHACE BARTLETT DO
17316 UMBRA
OVERLAND PARK, KS 66221-7152
Phone number: 913-221-3557
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