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1003486663
COLIN MALCOLM
LYNCHBURG, VA
NPI
1003486663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110008132)
Enumeration Date
2021-06-28
Last Update Date
2021-10-14
Business Address
COLIN MALCOLM
125 NATIONWIDE DR
LYNCHBURG, VA 24502-4272
Phone number: 434-200-3908
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Mailing Address
COLIN MALCOLM
125 NATIONWIDE DR
LYNCHBURG, VA 24502-4272
Phone number: 434-200-3908
Copy
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