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Individual

ELIZABETH ANN HOLMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1730 E KING ST, CORUNNA, MI 48817-1558
(989) 413-7081
Mailing address
1730 E KING ST, CORUNNA, MI 48817-1558
(989) 413-7081

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MI

Other

Enumeration date
08/31/2017
Last updated
07/21/2022
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