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Individual

PROF. GRANT COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSOM, LAC

Contact information

Practice address
31877 DEL OBISPO ST STE 107, SAN JUAN CAPISTRANO, CA 92675-3209
(949) 429-5184
Mailing address
31151 NIGUEL RD, LAGUNA NIGUEL, CA 92677-4101
(949) 429-5184

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
9668
CA

Other

Enumeration date
07/26/2018
Last updated
07/26/2018
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