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Individual

HARLEY STEVEN HOLLIDAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMP

Contact information

Practice address
31218 WEBSTER RD E, EATONVILLE, WA 98328-8674
(253) 847-8728
Mailing address
31218 WEBSTER RD E, EATONVILLE, WA 98328-8674
(253) 847-8728

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00022087
WA

Other

Enumeration date
05/20/2007
Last updated
07/08/2007
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