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Organization
SERENITYPASS HOLISTIC HEALTH PLLC
Active
Organization
SERENITYPASS HOLISTIC HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY HALL NP (OWNER)
(937) 577-4266
Entity
Organization
Contact information
Practice address
605 N MINE ST, SANDOVAL, IL 62882-1103
(618) 552-3034
Mailing address
605 N MINE ST, SANDOVAL, IL 62882-1103
(618) 552-3034
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/22/2024
Last updated
12/16/2024
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