# MR. AUSTYN DESEAN HOLLINGSHED

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1912470907
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 372600000X | Adult Companion | — | NULL | Yes |

## Other

- **Enumeration date:** 01/02/2019
- **Last updated:** 01/02/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0022819320 | UPHP0022 | MI |
| 01 | — | H452074139741 | DRIVERS LICENSE | MI |
