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Individual

MR. RICHARD NICHOLAS COLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PEER SUPPORT SPECIAL

Contact information

Practice address
12272 106TH ST NE, WALHALLA, ND 58282-9519
(504) 919-5625
Mailing address
12272 106TH ST NE, WALHALLA, ND 58282-9519
(504) 919-5625

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
575
ND

Other

Enumeration date
08/21/2024
Last updated
08/21/2024
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