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1134644180
MARK WAYNE COLLINS
LEBANON, PA
NPI
1134644180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP017583)
Enumeration Date
2017-08-11
Last Update Date
2017-08-11
Business Address
MARK WAYNE COLLINS CRNP
615 CUMBERLAND ST
LEBANON, PA 17042-5233
Phone number: 717-273-6741
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Mailing Address
MARK WAYNE COLLINS CRNP
1700 S LINCOLN AVE
LEBANON, PA 17042-7529
Phone number: 717-273-6741
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