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Individual

GRACE MCCOLLAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1430 TULANE AVE, NEW ORLEANS, LA 70112-2632
(504) 988-5263
Mailing address
1430 TULANE AVE, NEW ORLEANS, LA 70112-2632

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
09/13/2022
Last updated
09/13/2022
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