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Individual

JILLIAN ASHLEY HOLGATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1416 4TH AVE APT 1, HUNTINGTON, WV 25701-2403
(724) 312-6520
Mailing address
1416 4TH AVE APT 1, HUNTINGTON, WV 25701-2403
(724) 312-6520

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
09/17/2019
Last updated
09/17/2019
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