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1083963664
CASEY MCCOLLUM
POMONA, CA
NPI
1083963664
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA22463)
Enumeration Date
2012-08-29
Last Update Date
2014-01-13
Business Address
-- CASEY MCCOLLUM PA-C
1902 ROYALTY DR SUITE 130
POMONA, CA 91767-3030
Phone number: 909-865-5777
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Mailing Address
-- CASEY MCCOLLUM PA-C
1902 ROYALTY DR SUITE 130
POMONA, CA 91767-3030
Phone number: 909-865-5777
Copy
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