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1811999253
LORETTA JOAN MC COLLUM
CANOGA PARK, CA
NPI
1811999253
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: CA 7615)
Enumeration Date
2005-08-15
Last Update Date
2007-07-08
Business Address
Mrs. LORETTA JOAN MC COLLUM RNP-CNP
7107 REMMET AVE
CANOGA PARK, CA 91303-2016
Phone number: 818-340-3570
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Mailing Address
Mrs. LORETTA JOAN MC COLLUM RNP-CNP
1172 N MACLAY AVE
SAN FERNANDO, CA 91340-1328
Phone number: 818-898-1388
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