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Individual

JODIE L COLLIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(937) 242-0615
Mailing address
29 OLD MILL RD, SPRINGFIELD, OH 45506-4131

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.538901
OH
164W00000X
Licensed Practical Nurse
LPN.183367.MEDS-IV
OH

Other

Enumeration date
07/22/2024
Last updated
07/30/2024
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