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Individual

MR. CHARLES COLEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-0433
Mailing address
VAPSHCS 9600 VETERANS DRIVE SW, AMERICAN LAKE DIVISION, LAKEWOOD, WA 98498-0001
(253) 582-8440

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10004781
WA

Other

Enumeration date
09/07/2006
Last updated
12/12/2019
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