Individual
MISS BRIANNE NICOLE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
126 MISSOURI AVE # 1255, USA MEDDAC - FAMILY PRACTICE, FORT LEONARD WOOD, MO 65473-8952
(573) 596-1765
Mailing address
27075 STEPHANIE LN, LAQUEY, MO 65534-7612
(573) 528-4616
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2006023810
MO
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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