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1245096213
COLIN MCCULLOUGH
LOGAN, WV
NPI
1245096213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WV 932)
Enumeration Date
2024-02-26
Last Update Date
2024-11-14
Business Address
COLIN MCCULLOUGH PA-S
20 HOSPITAL DR
LOGAN, WV 25601-3452
Phone number: 304-831-1101
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Mailing Address
COLIN MCCULLOUGH PA-S
764 TIMBERLANE DR
GALION, OH 44833-1125
Phone number:
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