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Individual

MR. KEVIN B. HOLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
3300 W 6TH ST, THE DALLES, OR 97058-4144
(541) 298-2055
(541) 298-2060
Mailing address
3300 W 6TH ST, THE DALLES, OR 97058-4144
(541) 298-2055
(541) 298-2060

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0010216
OR

Other

Enumeration date
03/21/2012
Last updated
03/21/2012
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