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Individual

LISA MARIE COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
401 SW H K DODGEN LOOP APT 107, TEMPLE, TX 76502-1916
(254) 624-1555
Mailing address
401 SW H K DODGEN LOOP APT 107, TEMPLE, TX 76502-1916
(254) 624-1555

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
196299
TX

Other

Enumeration date
08/23/2018
Last updated
08/23/2018
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