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SANDRA ANN COLLINS

>> Contractor >> Other Service Providers

Registrant NPI Number: 1366742546

Individual Registrant:
 SANDRA ANN COLLINS 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
617 STAMPER BR  ISOM, KY 41824-9006 US
Tel: 606-633-8083  Fax: --

Contact information for business:
617 STAMPER BR  ISOM, KY 41824-9006 US
Tel: 606-633-8083  Fax: --

Registration Information:
NPI: 1366742546
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171W00000XOther Service Providers
Contractor
KY003585

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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