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1740720994
MARK COLLINS
EUREKA, CA
NPI
1740720994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 95113669)
Enumeration Date
2017-03-06
Last Update Date
2017-03-06
Business Address
-- MARK COLLINS RN
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
-- MARK COLLINS RN
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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