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1831770452
CHRISTIAN OMAR COLLAZO
MERCED, CA
NPI
1831770452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: CA 95033193)
Enumeration Date
2021-04-15
Last Update Date
2024-12-08
Business Address
CHRISTIAN OMAR COLLAZO PMHNP
700 W 22ND ST
MERCED, CA 95340-3638
Phone number: 209-385-7140
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Mailing Address
CHRISTIAN OMAR COLLAZO PMHNP
3212 TUPELO DR
MERCED, CA 95348-9351
Phone number: 209-769-4757
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