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Individual

JOSHUA HOLST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MHPP

Contact information

Practice address
18 COUNTY ROAD 458, MOUNTAIN HOME, AR 72653-8212
(870) 425-5252
Mailing address
18 COUNTY ROAD 458, MOUNTAIN HOME, AR 72653-8212

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
03/17/2009
Last updated
03/17/2009
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