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1700955564
MICHELLE MCCOLLAM
MONTGOMERY, WV
NPI
1700955564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WV 01025)
Enumeration Date
2006-11-07
Last Update Date
2007-07-08
Business Address
MICHELLE MCCOLLAM PA-C
401 6TH AVE SUITE 102
MONTGOMERY, WV 25136-2116
Phone number: 304-442-8381
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Mailing Address
MICHELLE MCCOLLAM PA-C
PO BOX 30
MONTGOMERY, WV 25136-0030
Phone number: 304-442-8381
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