SHANICE COLEMAN

FT. RUCKER, AL
NPI1063680734
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374700000X Technician
(Licence: MT  361204)
Enumeration Date2008-02-15
Last Update Date2008-02-15
Business Address
-- SHANICE COLEMAN medical assistant
301 ANDREWS AVE
FT. RUCKER, AL 36362
Phone number: 333-255-7755
Mailing Address
-- SHANICE COLEMAN medical assistant
301 ANDREWS AVE
FT. RUCKER, AL 36362
Phone number:
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