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Individual

MS. XISMARI COLLAZO-COLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2400 HOSPITAL RD, TUSKEGEE, AL 36083-5001
(334) 727-0550
Mailing address
2400 HOSPITAL RD, TUSKEGEE, AL 36083-5001

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2152
AL

Other

Enumeration date
11/11/2012
Last updated
07/14/2013
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