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1972685683
MATTHEW TYNES COLEMAN
BOSSIER CITY, LA
NPI
1972685683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: LA PA.A10348)
Enumeration Date
2006-10-20
Last Update Date
2020-10-28
Business Address
Mr. MATTHEW TYNES COLEMAN PA-C
2539 VIKING DR STE 101
BOSSIER CITY, LA 71111-2165
Phone number: 318-747-8100
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Mailing Address
Mr. MATTHEW TYNES COLEMAN PA-C
2539 VIKING DR STE 101
BOSSIER CITY, LA 71111-2165
Phone number: 318-925-3338
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