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Individual
ERIC COLLISON
Active
Individual
ERIC COLLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1776
OR
111N00000X
Chiropractor
271776
OR
Other
Enumeration date
10/28/2005
Last updated
09/25/2009
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