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1174042501
SAMANTHA JEAN MCCOLLOUGH
OPP, AL
NPI
1174042501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-143531)
Enumeration Date
2017-09-18
Last Update Date
2020-12-08
Business Address
Mrs. SAMANTHA JEAN MCCOLLOUGH CRNP
702 N MAIN ST
OPP, AL 36467-1626
Phone number: 334-493-3451
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Mailing Address
Mrs. SAMANTHA JEAN MCCOLLOUGH CRNP
9631 HIGHWAY 125
ELBA, AL 36323-7769
Phone number:
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