JED THOMAS COLVIN

GRASS VALLEY, CA
NPI1528315538
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  22027)
Enumeration Date2012-08-08
Last Update Date2012-08-08
Business Address
Mr. JED THOMAS COLVIN
155 GLASSON WAY
GRASS VALLEY, CA 95945-5723
Phone number: 530-274-6000
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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