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Individual

ANITA LYNN HOLBROOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4603 NATURAL BRIDGE AVE, SAINT LOUIS, MO 63115-1922
(314) 833-4603
Mailing address
4603 NATURAL BRIDGE AVE, SAINT LOUIS, MO 63115-1922
(314) 833-4603

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
088456
MO

Other

Enumeration date
06/28/2020
Last updated
06/28/2020
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