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1518551365
COLEMAN DOUGLAS
SPRINGFIELD, MO
NPI
1518551365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MO 2021006397)
Enumeration Date
2021-02-23
Last Update Date
2021-02-23
Business Address
COLEMAN DOUGLAS PA
3801 S NATIONAL AVE
SPRINGFIELD, MO 65807-5210
Phone number: 417-269-4983
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Mailing Address
COLEMAN DOUGLAS PA
PO BOX 9007
SPRINGFIELD, MO 65808-9007
Phone number: 417-875-3000
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