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Randy Coleman

NPI 1497332084 · on the registry since 2021 · sole proprietor

Practice

Address
52303 Carriage Hills Dr
South Bend, IN 46635
Phone
(574) 272-1160

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-03-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana