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1073129284
MAURICE COLEMAN
PETERSON AFB, CO
NPI
1073129284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
Enumeration Date
2020-09-22
Last Update Date
2020-09-22
Business Address
MAURICE COLEMAN
1055 E STEWART AVE BLDG 2018
PETERSON AFB, CO 80914-2900
Phone number: 719-556-1333
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Mailing Address
MAURICE COLEMAN
1055 E STEWART AVE BLDG 2018
PETERSON AFB, CO 80914-2900
Phone number: 719-556-1333
Copy
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