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1720171598
ALFRED COLEMAN
SAN JOSE, CA
NPI
1720171598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: CA PA10187)
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
ALFRED COLEMAN PAC
1644 ALUM ROCK AVE
SAN JOSE, CA 95116-2429
Phone number: 408-347-1680
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Mailing Address
ALFRED COLEMAN PAC
838 ANTERO CT
SAN JOSE, CA 95133-1202
Phone number: 408-347-1680
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