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1972233369
DEREK HOLT
MISSOULA, MT
NPI
1972233369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MT NUR-APRN-LIC-195627)
Enumeration Date
2022-06-16
Last Update Date
2022-07-28
Business Address
DEREK HOLT PMHNP-BC
900 N ORANGE ST
MISSOULA, MT 59802-2998
Phone number: 406-327-3362
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Mailing Address
DEREK HOLT PMHNP-BC
PO BOX 12
LIBERTY LAKE, WA 99019-0012
Phone number: 406-327-3362
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