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Holley Whitehead

NPI 1821761750 · on the registry since 2021 · sole proprietor

Practice

Address
2040 Autokee St
Oregon, OH 43616
Phone
(419) 787-7059

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-07-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio