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1023086568
JACKIE L COLLINS
PLYMOUTH, MN
NPI
1023086568
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN R128366-4)
Enumeration Date
2006-03-10
Last Update Date
2019-06-18
Business Address
JACKIE L COLLINS CNP
2805 CAMPUS DR STE 105
PLYMOUTH, MN 55441-2677
Phone number: 763-519-7440
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Mailing Address
JACKIE L COLLINS CNP
2550 UNIVERSITY AVE W STE 110N
SAINT PAUL, MN 55114-2001
Phone number: 651-602-5311
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