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1063187896
LISMAR COLLADO
JACKSON, TN
NPI
1063187896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-08-13
Last Update Date
2024-03-28
Business Address
LISMAR COLLADO MD
294 SUMMAR DR
JACKSON, TN 38301-3915
Phone number: 787-616-3176
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Mailing Address
LISMAR COLLADO MD
HC 43 BOX 11858
CAYEY, PR 00736-9228
Phone number: 787-616-3176
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