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Individual

MITCHEL KIRK HOLLIDAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.D.

Contact information

Practice address
200 WEST HOSPITAL DRIVE, WHITERIVER, AZ 85941-0860
(928) 338-3574
(928) 338-3522
Mailing address
PO BOX 860, WHITERIVER, AZ 85941-0860
(928) 338-3574
(928) 338-3522

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
953262

Other

Enumeration date
03/29/2007
Last updated
07/08/2007
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