Individual
CLINTON COLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
(740) 779-1151
Mailing address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
440904
OH
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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