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Individual

DR. CARY L HOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
8013 L ST, RALSTON, NE 68127-1734
(402) 592-7686
(402) 592-0689
Mailing address
8013 L ST, RALSTON, NE 68127-1734
(402) 592-7686
(402) 592-0689

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1220
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09735
BCBS
NE
05
1517805
IA
05
47082043200
NE
01
P00204720
RR MEDICARE
NE
Enumeration date
10/11/2006
Last updated
08/30/2010
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