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1912736802
JAMES TRAVIS BOLT
LAKEWOOD, WA
NPI
1912736802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA 61590376)
Enumeration Date
2024-07-29
Last Update Date
2024-07-29
Business Address
JAMES TRAVIS BOLT ARNP
9115 BRIDGEPORT WAY SW STE 2
LAKEWOOD, WA 98499-2449
Phone number: 253-393-9099
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Mailing Address
JAMES TRAVIS BOLT ARNP
302 CHAMPION ST
STEILACOOM, WA 98388-1108
Phone number: 915-730-4282
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