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Individual

TONETTE HOLMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
720 SIMPSON DR, WINONA, MS 38967
(662) 582-0634
Mailing address
720 SIMPSON DR, WINONA, MS 38967-3015
(662) 582-0634

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
10/20/2014
Last updated
10/20/2014
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