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Individual
HOLLY D STATT
Active
Individual
HOLLY D STATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, RDH
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902017016
MI
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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