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Individual
PAUL REGINALD HOLLAND
Active
Individual
PAUL REGINALD HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4804T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316650001
DME SUPPLIER
—
05
—
4473614
—
CA
Enumeration date
02/08/2006
Last updated
10/07/2016
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