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1205917929
ROBERT M COLLISON
PHOENIX, AZ
NPI
1205917929
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: AZ 850525)
Enumeration Date
2006-10-18
Last Update Date
2008-09-09
Business Address
-- ROBERT M COLLISON RD, CDE
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1511
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Mailing Address
-- ROBERT M COLLISON RD, CDE
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1511
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