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Individual
VANCE HOLDSCLAW
Active
Individual
VANCE HOLDSCLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12316
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0347372
—
NC
Enumeration date
09/26/2010
Last updated
09/26/2010
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