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NPI Profile for GUS D HOLABECK III in CASTLE ROCK, CO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pastoral |
101YP1600X |
| NPI # | 1215314695 |
|
| Status | Active | |
| Credentials | MA | |
| Entity | Individual | |
| Enumeration date | 05/05/2015 | |
| Last updated | 05/05/2015 - About 11 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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GUS D HOLABECK III
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GUS D HOLABECK III, MA