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1871311555
MARK W COLEMAN
PHOENIX, AZ
NPI
1871311555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: AZ 313266)
Enumeration Date
2024-10-01
Last Update Date
2024-10-11
Business Address
MARK W COLEMAN FNP
11240 N 19TH AVE STE 12
PHOENIX, AZ 85029-4825
Phone number: 858-621-1514
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Mailing Address
MARK W COLEMAN FNP
10089 WILLOW CREEK RD STE 200
SAN DIEGO, CA 92131-1699
Phone number: 858-621-1514
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