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Individual

ANDREW LANE COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
25201 E. 78 HWY, INDEPENDENCE, MO 64056
(816) 796-7307
(816) 796-7305
Mailing address
25201 E. 78 HWY, INDEPENDENCE, MO 64056
(816) 796-7307
(816) 796-7305

Taxonomy

Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
121079
MO

Other

Enumeration date
07/14/2022
Last updated
07/14/2022
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