PATRICK LAVERN HOLT

MASON CITY, IA
NPI1336561737
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
(Licence: IA  1-17-010888 M)
Enumeration Date2014-01-20
Last Update Date2014-01-20
Business Address
Mr. PATRICK LAVERN HOLT
1454 N FEDERAL AVE
MASON CITY, IA 50401-1268
Phone number: 641-421-8640
Mailing Address
Mr. PATRICK LAVERN HOLT
1454 N FEDERAL AVE
MASON CITY, IA 50401-1268
Phone number: 641-421-8640
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