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Individual

TARA MCCOLLOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1618 S LANE ST, SEATTLE, WA 98144-2829
(206) 459-9727
Mailing address
1618 S LANE ST, SEATTLE, WA 98144-2829
(206) 459-9727

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN60584747
WA

Other

Enumeration date
09/25/2023
Last updated
09/25/2023
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