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Individual

MRS. REBECCA C ANHOLD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
VATL, ATC

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
J040801501
VA
246Z00000X
Other Specialist/Technologist
Primary
0126000099
VA

Other

Enumeration date
02/07/2012
Last updated
02/07/2012
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