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1851368229
CARLOS M. COLEMAN
SAN DIEGO, CA
NPI
1851368229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2006-03-03
Last Update Date
2007-07-08
Business Address
Mr. CARLOS M. COLEMAN IDC
34101 FARENHOLT AVE NSHS-SD IDC DEPT
SAN DIEGO, CA 92134-7000
Phone number: 619-532-5109
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Mailing Address
Mr. CARLOS M. COLEMAN IDC
1418 TRAILWOOD AVE
CHULA VISTA, CA 91913-2964
Phone number: 619-985-5915
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