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Individual

MRS. DORIS LYNN HOLLOWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
303 N MAIN ST, BOX 436, REESEVILLE, WI 53579-9662
(920) 927-5308
Mailing address
303 N MAIN ST, BOX 436, REESEVILLE, WI 53579-9662
(920) 927-5308

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
106042
WI

Other

Enumeration date
05/20/2014
Last updated
05/20/2014
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