Provider Information for 1679061931
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Dr. COLLEEN MARY MCMAHON PhD
Sex: Female
NPI: 1679061931
Last Updated: 2018-04-23
Certification Date:
Certification Date:
Details
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| NPI | 1679061931 | ||||||||
| Enumeration Date | 2018-04-23 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4860 ANDERSON RD LYNDHURST, OH 44124-1078 United States Phone: 216-382-3719 | Fax: | ||||||||
| Primary Practice Address | 20220 CENTER RIDGE RD STE 355 ROCKY RIVER, OH 44116-3596 United States Phone: 440-249-7990 | Fax: | ||||||||
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