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Individual

DIANE W HOLZUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, MSN, CNS

Contact information

Practice address
1701 LACEY ST, CAPE GIRARDEAU, MO 63701-5230
(573) 334-4822
(573) 986-5984
Mailing address
503 MANSFIELD PL, JACKSON, MO 63755-2318
(573) 243-7029

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
065929
MO

Other

Enumeration date
03/26/2007
Last updated
07/08/2007
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