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Individual
SANDRA LEE COLEMAN
Active
Individual
SANDRA LEE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
333848
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115994DL
PREFERRED CARE
NY
01
—
6613
BLUE CROSS ROCHESTER
NY
05
—
F333848
—
NY
01
—
P019333848
BLUE CHOICE ROCHESTER
NY
Enumeration date
07/26/2006
Last updated
01/25/2011
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