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1295808848
THOMAS GEORGE BASTHOLM
LEWES, DE
NPI
1295808848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: DE DEI30001133)
Enumeration Date
2006-11-15
Last Update Date
2007-07-08
Business Address
-- THOMAS GEORGE BASTHOLM O.D.
1540 SAVANNAH RD
LEWES, DE 19958-1682
Phone number: 302-645-2020
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Mailing Address
-- THOMAS GEORGE BASTHOLM O.D.
1540 SAVANNAH RD
LEWES, DE 19958-1682
Phone number: 302-645-2020
Copy
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