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1902000748
TARITA NICOLE COLLINS
PHILADELPHIA, PA
NPI
1902000748
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA OT011936)
Enumeration Date
2007-06-14
Last Update Date
2011-01-25
Business Address
Dr. TARITA NICOLE COLLINS D.O.
5501 OLD YORK RD
PHILADELPHIA, PA 19141-3018
Phone number: 215-456-7890
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Mailing Address
Dr. TARITA NICOLE COLLINS D.O.
5501 OLD YORK ROAD
PHILADELPHIA, PA 19140
Phone number: 215-456-9899
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