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Individual

JANESSA STAR HOLLAMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1575 BEAM AVE, MAPLEWOOD, MN 55109-1126
(651) 232-7000
Mailing address
176 BIGELOW LN APT C, SAINT PAUL, MN 55117-5909
(651) 983-2943

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary

Other

Enumeration date
03/27/2007
Last updated
07/08/2007
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