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Individual

DALE K COLLIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1401 JOHNSTON WILLIS DR, NORTH CHESTERFIELD, VA 23235-4730
(804) 483-6240
(804) 483-6241
Mailing address
1401 JOHNSTON WILLIS DR, NORTH CHESTERFIELD, VA 23235-4789
(804) 483-6240
(804) 483-6241

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024178139
VA

Other

Enumeration date
09/05/2019
Last updated
09/05/2019
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