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1396906285
CHAD COLLOM
DALLAS, TX
NPI
1396906285
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 675826)
Enumeration Date
2008-06-23
Last Update Date
2009-04-22
Business Address
Mr. CHAD COLLOM RN, MSN, PMHNP-BC
2206 MARILLA
DALLAS, TX 75201
Phone number: 214-566-8727
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Mailing Address
Mr. CHAD COLLOM RN, MSN, PMHNP-BC
2206 MARILLA DRIVE
DALLAS, TX 75201-5906
Phone number: 214-566-8727
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