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Individual
TINA HOLBROOK
Active
Individual
TINA HOLBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
1109689
KY
363LF0000X
Family Nurse Practitioner
Primary
3010572
KY
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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