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1922509520
JACLYN RAE COLLIE
ATHENS, AL
NPI
1922509520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-153844)
Enumeration Date
2018-02-28
Last Update Date
2019-09-18
Business Address
JACLYN RAE COLLIE CRNP
902 W WASHINGTON ST
ATHENS, AL 35611-2438
Phone number: 256-216-9777
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Mailing Address
JACLYN RAE COLLIE CRNP
111 SARAH JANE DR
MADISON, AL 35757-7739
Phone number: 314-749-0001
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