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1427631266
COLTON SOUTHALL
BROOKLYN, NY
NPI
1427631266
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-29
Last Update Date
2021-04-29
Business Address
Dr. COLTON SOUTHALL MD
450 CLARKSON AVE DEPT OF
BROOKLYN, NY 11203-2012
Phone number: 718-270-1291
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Mailing Address
Dr. COLTON SOUTHALL MD
450 CLARKSON AVE DEPT OF
BROOKLYN, NY 11203-2012
Phone number:
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