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1528739893
THOMAS HOLDER BARTLETT
PORTLAND, OR
NPI
1528739893
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Other Name
TOM HOLDER BARTLETT
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-09-25
Last Update Date
2021-09-25
Business Address
Mr. THOMAS HOLDER BARTLETT
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8311
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Mailing Address
Mr. THOMAS HOLDER BARTLETT
2460 SE TAMARACK AVE
PORTLAND, OR 97214-5453
Phone number: 419-509-2057
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