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Organization

T.W. HOLST GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TYLER WILLIAM HOLST RN FIRST ASSISTANT (OWNER)
(503) 931-7902
Entity
Organization

Contact information

Practice address
4949 W LA PUENTA AVE, LAVEEN, AZ 85339-3176
(503) 931-7902
Mailing address
4949 W LA PUENTA AVE, LAVEEN, AZ 85339-3176

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary

Other

Enumeration date
04/10/2024
Last updated
06/02/2024
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