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Individual

COLLIN ROBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
707 N PEARL STREET, ELLENSBURG, WA 98926
(509) 575-4084
Mailing address
PO BOX 959, YAKIMA, WA 98907

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61248478
WA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN61248478
WA

Other

Enumeration date
06/26/2023
Last updated
06/26/2023
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