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Irma Colgrove
NPI 1770015059 · on the registry since 2017
Practice
- Address
- 9102 Camino Lago Vis
Spring Valley, CA 91977 - Phone
- (619) 954-1105
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-03-28
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 California