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Individual
HOLLY AUSTIN
Active
Individual
HOLLY AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
595
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013PA
—
SC
01
—
970021280
MEDICARE RAILROAD
SC
Enumeration date
06/06/2006
Last updated
05/28/2008
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