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1548204589
LANCE WAYNE COLEMAN
MERIDIAN, ID
NPI
1548204589
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck
(Licence: ID M7160)
Enumeration Date
2006-06-16
Last Update Date
2007-10-25
Business Address
-- LANCE WAYNE COLEMAN MD
520 S EAGLE RD #1223
MERIDIAN, ID 83642-6308
Phone number: 208-888-4368
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Mailing Address
-- LANCE WAYNE COLEMAN MD
520 S EAGLE RD #1223
MERIDIAN, ID 83642-6308
Phone number: 208-888-4368
Copy
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