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1467931360
DIRK M COLLEVECCHIO
SAN FRANCISCO, CA
NPI
1467931360
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: CA 95015285)
Enumeration Date
2018-08-10
Last Update Date
2023-03-22
Business Address
DIRK M COLLEVECCHIO RN, AGNP-C
4150 CLEMENT ST
SAN FRANCISCO, CA 94121-1563
Phone number: 415-221-4810
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Mailing Address
DIRK M COLLEVECCHIO RN, AGNP-C
349 27TH AVE
SAN FRANCISCO, CA 94121-1811
Phone number: 443-243-3136
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