RICHARD SHANE COLTRAIN

GREENVILLE, NC
NPI1417994500
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: VA  CPO 2469)
Additional Taxonomies222Z00000X 
(Licence: VA  CPO 2469)
Enumeration Date2006-05-31
Last Update Date2013-04-03
Business Address
Mr. RICHARD SHANE COLTRAIN CPO
1025 WH SMITH BLVD SUITE 108
GREENVILLE, NC 27834-5052
Phone number: 252-215-2215
Mailing Address
Mr. RICHARD SHANE COLTRAIN CPO
1025 WH SMITH BLVD SUITE 108
GREENVILLE, NC 27834-5052
Phone number: 252-215-2215
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