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1538714191
DOUGLAS S HOLT
NORMAL, IL
NPI
1538714191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: IL 237000196)
Enumeration Date
2019-08-09
Last Update Date
2019-09-12
Business Address
Mr. DOUGLAS S HOLT CST
1604 VISA DR STE 1
NORMAL, IL 61761-2195
Phone number: 309-846-4716
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Mailing Address
Mr. DOUGLAS S HOLT CST
1604 VISA DR STE 1
NORMAL, IL 61761-2195
Phone number: 309-846-4716
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