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1770888091
R LACEY H COLLIGAN
CHARLOTTESVILLE, VA
NPI
1770888091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: VA 0116023185)
Enumeration Date
2011-01-18
Last Update Date
2011-01-18
Business Address
-- R LACEY H COLLIGAN M.D.
1215 LEE ST BOX 800386
CHARLOTTESVILLE, VA 22908-0816
Phone number: 434-243-9377
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Mailing Address
-- R LACEY H COLLIGAN M.D.
1215 LEE ST PO BOX 800386
CHARLOTTESVILLE, VA 22908-0816
Phone number: 434-243-9377
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