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1336132166
TERESIA MCCOLLISTER
LOS ANGELES, CA
NPI
1336132166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA RN 268022)
Enumeration Date
2005-08-26
Last Update Date
2012-02-01
Business Address
-- TERESIA MCCOLLISTER
2411 N BROADWAY
LOS ANGELES, CA 90031-2218
Phone number: 323-987-2000
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Mailing Address
-- TERESIA MCCOLLISTER
6000 N FIGUEROA ST
LOS ANGELES, CA 90042-4232
Phone number: 323-254-5221
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