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Individual

DANIEL HOLLOWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 809-5000
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-7576
(228) 497-8869

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
901454
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03671857
MS
Enumeration date
10/31/2017
Last updated
08/25/2020
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