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1528315538
JED THOMAS COLVIN
GRASS VALLEY, CA
NPI
1528315538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CA 22027)
Enumeration Date
2012-08-08
Last Update Date
2012-08-08
Business Address
MR. JED THOMAS COLVIN
155 GLASSON WAY
GRASS VALLEY, CA 95945-5723
Phone number: 530-274-6000
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Mailing Address
MR. JED THOMAS COLVIN
103 PROVIDENCE MINE RD STE 202
NEVADA CITY, CA 95959-2949
Phone number: 530-470-8377
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