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Individual

COLLINS MORANOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2167 CLEARWATER LN, CAMDEN, SC 29020-9438
(803) 272-2978
Mailing address
2167 CLEARWATER LN, CAMDEN, SC 29020-9438

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
08/05/2025
Last updated
08/05/2025
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