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Individual
REBECCA HOLM
Active
Individual
REBECCA HOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03306
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA03306
LICENSE
TX
Enumeration date
04/11/2007
Last updated
05/17/2012
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