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Individual
WONDIFUL A COLBERT
Active
Individual
WONDIFUL A COLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101236778
VA
207Q00000X
Family Medicine Physician
Primary
Q7346
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00444406
RAILROAD MEDICARE
VA
Enumeration date
01/09/2006
Last updated
04/28/2020
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