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Individual

MR. RANDALL L HOLYFIELD SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BC-HIS ACA

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
ACA
MI
237700000X
Hearing Instrument Specialist
80372
TX
237700000X
Hearing Instrument Specialist
BC-HIS 6793
MI
237700000X
Hearing Instrument Specialist
Primary
HA 223
CO
237700000X
Hearing Instrument Specialist
HA 7090
CA
237700000X
Hearing Instrument Specialist
HAD 5089
AZ

Other

Enumeration date
01/11/2007
Last updated
02/16/2016
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