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Individual

EBONY COLEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3337 AVENUE VILLANDRY, DELRAY BEACH, FL 33445-2220
(561) 843-6586
Mailing address
3337 AVENUE VILLANDRY, DELRAY BEACH, FL 33445-2220
(561) 843-6586

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary

Other

Enumeration date
10/23/2024
Last updated
10/23/2024
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