Individual
JASON LAUREN HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8724 NEVADA AVE N, BROOKLYN PARK, MN 55445-2665
(917) 635-4177
Mailing address
8724 NEVADA AVE N, BROOKLYN PARK, MN 55445-2665
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/24/2013
Last updated
06/24/2013
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