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Individual

ROGER HOLLIES JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
275 EAST DR, BATON ROUGE, LA 70806-5105
(225) 202-2302
Mailing address
275 EAST DRIVE, BATON ROUGE, LA 70806
(225) 202-2302

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
007305109
LA

Other

Enumeration date
02/07/2013
Last updated
02/25/2013
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