JOHNNY KEITH COLEMAN

FORTUNA, CA
NPI1174558845
Other NameJOHN K COLEMAN
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: CA  PA13661)
Enumeration Date2006-07-11
Last Update Date2015-06-30
Business Address
-- JOHNNY KEITH COLEMAN P.A.-C.
3302 RENNER DR
FORTUNA, CA 95540-7103
Phone number: 707-725-3318
Mailing Address
-- JOHNNY KEITH COLEMAN P.A.-C.
3302 RENNER DR
FORTUNA, CA 95540-3120
Phone number: 707-725-3318
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