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Individual
COLEMAN BRIGHT
Active
Individual
COLEMAN BRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10692
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500728313
—
OR
Enumeration date
07/11/2017
Last updated
04/20/2020
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