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Individual

MR. ELFREN COLINCO JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.N.

Contact information

Practice address
830 KEMPSVILLE RD,, NORFOLK, VA 23502
(757) 261-1412
Mailing address
830 KEMPSVILLE RD, NORFOLK, VA 23502

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001255782
VA

Other

Enumeration date
02/07/2007
Last updated
02/11/2016
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