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Organization
RICKY LEE COLEMAN
Active
Organization
RICKY LEE COLEMAN
Active
Other names
Jasper County Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
ALESHA GUNTER (OFFICE MANAGER)
(409) 622-2884
Entity
Organization
Contact information
Practice address
3148 COUNTY ROAD 480, KIRBYVILLE, TX 75956-4328
(409) 622-2635
Mailing address
PO BOX 1092, KIRBYVILLE, TX 75956-1092
(409) 622-2635
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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