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1083378616
RYAN A MCCOLLUM
CAMP LEJEUNE, NC
NPI
1083378616
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MN d14632)
Enumeration Date
2021-10-29
Last Update Date
2021-10-29
Business Address
Dr. RYAN A MCCOLLUM DDS
2D DENBN/NDC, PSC 20130 315 MCHUGH BLVD
CAMP LEJEUNE, NC 28542-0130
Phone number: 910-451-2208
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Mailing Address
Dr. RYAN A MCCOLLUM DDS
2D DENBN/NDC, PSC 20130 315 MCHUGH BLVD
CAMP LEJEUNE, NC 28542-0130
Phone number: 910-451-2208
Copy
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