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1710622535
NICOLE ELYCE HOLM
GRESHAM, OR
NPI
1710622535
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2022-05-05
Last Update Date
2022-05-05
Business Address
NICOLE ELYCE HOLM
283 NW MILLER AVE
GRESHAM, OR 97030-7260
Phone number: 503-666-7644
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Mailing Address
NICOLE ELYCE HOLM
16083 SW UPPER BOONES FERRY RD STE 300
PORTLAND, OR 97224-7736
Phone number: 503-443-6156
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