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1114453057
NICHOLAS HOLLAND
JBSA LACKLAND, TX
NPI
1114453057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NE 1951)
Enumeration Date
2017-05-11
Last Update Date
2020-07-27
Business Address
NICHOLAS HOLLAND D.O.
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236-5638
Phone number: 210-292-2003
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Mailing Address
NICHOLAS HOLLAND D.O.
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236-5638
Phone number: 210-292-2003
Copy
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