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Demingo Collins
NPI 1518724673 · on the registry since 2024 · sole proprietor
Practice
- Address
- 613 Laurelwood Ct
O Fallon, IL 62269 - Phone
- (702) 875-1766
Registry record
- Primary taxonomy
- 320900000X
320900000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois