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Individual

DR. GARY G COLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
5790 MAGNOLIA AVE, STE. 202, RIVERSIDE, CA 92506-1874
(951) 682-7240
Mailing address
5790 MAGNOLIA AVE, STE. 202, RIVERSIDE, CA 92506-1874
(951) 682-7240

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PL5425
CA

Other

Enumeration date
09/28/2006
Last updated
07/08/2007
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