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1740888155
CHARLES SAMUEL GOLDFOOT
PORTLAND, OR
NPI
1740888155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-10-16
Last Update Date
2020-10-16
Business Address
CHARLES SAMUEL GOLDFOOT
1650 NW 13TH AVE APT 109
PORTLAND, OR 97209-3694
Phone number: 971-340-6523
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Mailing Address
CHARLES SAMUEL GOLDFOOT
1650 NW 13TH AVE APT 109
PORTLAND, OR 97209-3694
Phone number: 971-340-6523
Copy
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