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Individual

MRS. COLLEEN ELISE NUNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
185 S. MAIN ST., ANGELS CAMP, CA 95222-9522
(209) 736-6074
Mailing address
250 MISTLETOE CT, ANGELS CAMP, CA 95222-9639
(209) 743-3210

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT21003
CA

Other

Enumeration date
08/28/2020
Last updated
08/28/2020
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