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Organization
JEAN COLLAZO
Active
Organization
JEAN COLLAZO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET I DOLAN (OFFICE MANAGER)
(323) 262-9222
Entity
Organization
Contact information
Practice address
400 N FORD BLVD, LOS ANGELES, CA 90022-1122
(323) 262-9222
Mailing address
400 N FORD BLVD, LOS ANGELES, CA 90022-1122
(323) 262-9222
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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