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Colleen Owen

Student in an Organized Health Care Education/Training Program in Marietta, GA. Individual provider (NPI-1).

NPI number1982309092
StatusActive
Last updated in NPPESMar 31, 2023

Details

NPI
1982309092
Entity type
Individual (NPI-1)
Name
Colleen Owen
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 31, 2023
Certification date
Mar 31, 2023
Last updated
Mar 31, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–GAYes

Practice location

677 Church St Ne
Marietta, GA 30060-1101

Phone 770-793-5000

Mailing address

677 Church St Ne
Marietta, GA 30060-1101

Phone 770-793-5000

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