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Individual
MR. AUSTYN DESEAN HOLLINGSHED
Active
Individual
MR. AUSTYN DESEAN HOLLINGSHED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022819320
UPHP0022
MI
01
—
H452074139741
DRIVERS LICENSE
MI
Enumeration date
01/02/2019
Last updated
01/02/2019
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