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Individual

MS. LORIE ANN HOLLAWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 BROOKSIDE AVE, 304, POUGHKEEPSIE, NY 12601-1900
(518) 653-7926
Mailing address
1 BROOKSIDE AVE, 304, POUGHKEEPSIE, NY 12601-1900
(518) 653-7926

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
347U00000X
NY
376K00000X
Nurse's Aide
376K00000X
NY

Other

Enumeration date
10/17/2011
Last updated
10/17/2011
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