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Individual

MRS. AMBER JEAN COLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
THE GEARY PLAZA, 700 WASHINGTON STREET, CHARLESTON, WV 25301
(763) 340-7349
Mailing address
509 46TH ST SE, CHARLESTON, WV 25304-1815
(304) 552-8649

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
76893
WV
363LF0000X
Family Nurse Practitioner
Primary
113675
WV

Other

Enumeration date
06/06/2022
Last updated
07/07/2022
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