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Individual

JOI HOLSAPPLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
405 N DATE ST, T OR C, NM 87901-2377
(575) 894-7589
Mailing address
405 N DATE ST, T OR C, NM 87901-2377
(575) 894-7589

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
313036
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
313036
STATE OF NEW MEXICO PED
NM
Enumeration date
08/16/2016
Last updated
08/16/2016
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