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Individual

MYLASHI COLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
438 W BREVARD ST, TALLAHASSEE, FL 32301-1004
(850) 224-2469
Mailing address
3283 SUGAR BERRY WAY, TALLAHASSEE, FL 32303-7371
(314) 372-7731

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
531790
FL

Other

Enumeration date
09/12/2014
Last updated
09/12/2014
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