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Individual

DR. ROBERT EDWARD COLEMAN JR.

Active
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Individual

DR. ROBERT EDWARD COLEMAN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ND, LMT

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
ND-457
CA
225700000X
Massage Therapist
10900-146
WI

Other

Enumeration date
09/22/2011
Last updated
09/22/2011
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