Individual
ANDREA SUE COLBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
18277 28TH AVE, CONKLIN, MI 49403-9731
(616) 263-9191
Mailing address
18277 28TH AVE, CONKLIN, MI 49403-9731
(616) 263-9191
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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