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Individual
MARI SHELLY HOLDERBY
Active
Individual
MARI SHELLY HOLDERBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4915
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012769900
—
FL
Enumeration date
07/14/2014
Last updated
04/28/2016
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