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Individual

HOLLY ROSEMARY IRWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
251 BATTLE RD, HAINES, AK 99827-0915
(907) 314-3049
Mailing address
PO BOX 915, HAINES, AK 99827-0915
(907) 314-3049

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
104423
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
104423
STATE OF ALASKA
AK
Enumeration date
08/31/2016
Last updated
08/31/2016
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