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Jason Keith Holt

Case Manager/Care Coordinator in Las Animas, CO. Individual provider (NPI-1).

NPI number1679902001
StatusActive
Last updated in NPPESNov 6, 2013

Details

NPI
1679902001
Entity type
Individual (NPI-1)
Name
Mr. Jason Keith Holt
Sex
Male
Sole proprietor
No
Enumeration date
Nov 6, 2013
Last updated
Nov 6, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care CoordinatorACB.0007699COYes

Practice location

30999 County Road 15
Las Animas, CO 81054-9499

Phone 719-662-1105 · Fax 719-456-0109

Mailing address

1101 Grace Ave
La Junta, CO 81050-3119

Phone 719-468-2734 · Fax 719-456-0109

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