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1962668384
COLLEEN MARIE SU
MOJAVE, CA
NPI
1962668384
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Former Name
COLLEEN MARIE LEE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-08-05
Last Update Date
2010-01-14
Business Address
Mrs. COLLEEN MARIE SU
16940 HIGHWAY 14 C-F
MOJAVE, CA 93501-1238
Phone number: 661-824-5020
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Mailing Address
Mrs. COLLEEN MARIE SU
16940 HIGHWAY 14 C-F
MOJAVE, CA 93501-1238
Phone number: 661-824-5020
Copy
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