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Individual

MS. KIMBERLY ANNE HOLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MT

Contact information

Practice address
910 CAPITOL ST NE, SUITE B, SALEM, OR 97301-1201
(503) 391-2979
(503) 581-8389
Mailing address
PO BOX 3662, SALEM, OR 97302-0662
(503) 391-2979
(503) 581-8389

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
4760
OR

Other

Enumeration date
05/15/2008
Last updated
05/15/2008
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