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1558110254
DANTE SEBASTIAN COLLADO
CLINTON, MS
NPI
1558110254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-05-15
Last Update Date
2024-05-15
Business Address
DANTE SEBASTIAN COLLADO
604 HIGHWAY 80 W STE R
CLINTON, MS 39056-4108
Phone number: 866-398-0945
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Mailing Address
DANTE SEBASTIAN COLLADO
604 HWY 80 WEST STE. R OFFICE 2
CLINTON, MS 39056
Phone number: 866-398-0945
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