Individual
DR. JAVEN DELANO HOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1210 E BLUE EARTH AVE, FAIRMONT, MN 56031-4252
(507) 238-3363
(507) 235-3380
Mailing address
1210 E BLUE EARTH AVE, FAIRMONT, MN 56031-4252
(507) 238-3363
(507) 235-3380
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MN2192
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05165110
—
MN
Enumeration date
06/21/2005
Last updated
04/05/2011
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