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1760962401
BRENT LAMAR HOLT
CLEVELAND, OH
NPI
1760962401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: OH 21441664)
Enumeration Date
2018-08-21
Last Update Date
2018-08-21
Business Address
BRENT LAMAR HOLT
6701 MADISON AVE
CLEVELAND, OH 44102-4035
Phone number: 216-609-6259
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Mailing Address
BRENT LAMAR HOLT
6701 MADISON AVE
CLEVELAND, OH 44102-4035
Phone number: 216-609-6259
Copy
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