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1821534231
SHANE HOLLOWAY
COLUMBIA, MO
NPI
1821534231
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MO 2016044506)
Enumeration Date
2017-01-09
Last Update Date
2022-12-15
Business Address
SHANE HOLLOWAY FNP-C
1401 FORUM BLVD STE 202
COLUMBIA, MO 65203-1915
Phone number: 573-234-1367
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Mailing Address
SHANE HOLLOWAY FNP-C
1401 FORUM BLVD STE 202
COLUMBIA, MO 65203-1915
Phone number: 573-234-1367
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