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Individual

MRS. MARY R HOLLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
41521 W 11 MILE ROAD, CENTRIA HEALTHCARE LLC, NOVI, MI 48475
(124) 899-0030
Mailing address
37997 GLENGROVE DR, FARMINGTON HILLS, MI 48331-1197
(248) 788-9159

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704193175
MI

Other

Enumeration date
11/20/2014
Last updated
11/20/2014
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