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Individual

AMY HOLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
737 BROADWAY N, FARGO, ND 58102-4421
(701) 234-2000
Mailing address
813 LEONARDS WAY, ARGUSVILLE, ND 58005-9602
(701) 484-5056
(701) 484-9355

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R29774
ND

Other

Enumeration date
09/16/2009
Last updated
11/23/2009
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