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1174948046
JENA L COLTRANE
WINSTON SALEM, NC
NPI
1174948046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5006769)
Enumeration Date
2014-02-28
Last Update Date
2017-02-14
Business Address
-- JENA L COLTRANE NP-C
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-4498
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Mailing Address
-- JENA L COLTRANE NP-C
PO BOX 602658
CHARLOTTE, NC 28260-2658
Phone number: 336-716-2011
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