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Individual

MRS. JO ANN HOLLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D., L.D.,C.D.E.

Contact information

Practice address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 354-5240
(580) 354-5105
Mailing address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 354-5240
(580) 354-5105

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
650619

Other

Enumeration date
11/17/2006
Last updated
09/18/2014
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