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Individual
MRS. JEAN MARIE COLELLA
Active
Individual
MRS. JEAN MARIE COLELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN090566
AZ
363LA2200X
Adult Health Nurse Practitioner
Primary
AP1972
AZ
Other
Enumeration date
06/30/2005
Last updated
02/25/2019
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