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1114005550
DIANE M COLLIN
LIVONIA, MI
NPI
1114005550
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Former Name
DIANE JURKO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601002842)
Enumeration Date
2006-11-02
Last Update Date
2020-03-05
Business Address
DIANE M COLLIN PA
1990 HAGGERTY RD
LIVONIA, MI 48152-1054
Phone number: 734-432-7811
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Mailing Address
DIANE M COLLIN PA
3621 S STATE ST
ANN ARBOR, MI 48108-1633
Phone number: 734-647-5299
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