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1982065462
COLIN ROSS HIDALGO
LAKE CHARLES, LA
NPI
1982065462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP08659)
Enumeration Date
2016-03-11
Last Update Date
2016-10-03
Business Address
-- COLIN ROSS HIDALGO APRN, FNP-C
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA 70601-8990
Phone number: 337-494-4900
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Mailing Address
-- COLIN ROSS HIDALGO APRN, FNP-C
PO BOX 122165 DEPT 2165
DALLAS, TX 75312-2165
Phone number: 337-494-4900
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