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Diane Nelson Collins

NPI Registration Record

Provider / OrganizationNPIDate Certified
DIANE NELSON COLLINS13165492722020-11-14
Entity TypeIndividual
Provider Name Diane Nelson Collins
Practice Office Address100 BUCKHANNON XRDS
BUCKHANNON, WV US
Practice Office Telephone3044720834
Mailing Address3285 HOLLY GROVE RD
ROCK CAVE, WV 262345715 US
Business Telephone3049245610
HPT Codes
CodeLicense NoState
183500000X PRIMARYRP002871 WV
OPI Codes

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