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Individual

COLLEEN CLOAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1 N MAIN ST, COUDERSPORT, PA 16915-1630
(814) 274-8651
(814) 274-8652
Mailing address
1 N MAIN ST, COUDERSPORT, PA 16915-1630
(814) 274-8651
(814) 274-8652

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN534665
PA

Other

Enumeration date
03/25/2020
Last updated
03/25/2020
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