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1801460050
COLLEEN ELIZABETH CORCORAN
SANTA MONICA, CA
NPI
1801460050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-05-13
Last Update Date
2021-05-13
Business Address
COLLEEN ELIZABETH CORCORAN
1339 20TH ST
SANTA MONICA, CA 90404-2033
Phone number: 310-829-8921
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Mailing Address
COLLEEN ELIZABETH CORCORAN
51 W SIMPSON ST
TUCSON, AZ 85701-2280
Phone number: 513-276-7823
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