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Lisa Jo Holder
Driver in Otterbein, Indiana
NPI 1427274117

Lisa Jo Holder is a Driver based in Otterbein, IN. Lisa Jo Holder practices in Otterbein, IN. The NPI Number for Lisa Jo Holder is 1427274117 and holds a License No. 0510023691 (Indiana).

The current practice location address for Lisa Jo Holder is 312 W Darby Dr, Otterbein, IN and can be reached out via phone at 765-583-2505. You can also correspond with Lisa Jo Holder through the mailing address at 312 W DARBY DR, OTTERBEIN, IN - 47970-8563 (mailing address contact number: 765-583-2505).

Location: 312 W Darby Dr, Otterbein, IN, 47970-8563
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427274117
Provider Name
Lisa Jo Holder
Credential
Provider Entity Type
Individual
Gender
Female
Address
312 W Darby Dr, Otterbein, IN, 47970-8563
Phone Number
765-583-2505
Fax Number
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
312 W Darby Dr
City
Otterbein
State
Indiana
Zip
47970-8563
Phone Number
765-583-2505
Fax Number
person
Provider Business Mailing Address Details
Address
312 W Darby Dr
City
Otterbein
State
Indiana
Zip
47970-8563
Phone Number
765-583-2505
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
0510023691 (Indiana)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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