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1053965194
STACEY L HOLT
DAYTON, OH
NPI
1053965194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: OH 379371761200)
Enumeration Date
2019-07-26
Last Update Date
2019-07-26
Business Address
STACEY L HOLT
140 SANTA CLARA AVE APT 1
DAYTON, OH 45405-3632
Phone number: 937-604-6765
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Mailing Address
STACEY L HOLT
1224 VERNON DR
DAYTON, OH 45402-5714
Phone number: 937-604-6765
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