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Individual

KADEEM COLEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
380 MURRAY AVE, ENGLEWOOD, NJ 07631
(347) 909-9896
Mailing address
380 MURRAY AVE, ENGLEWOOD, NJ 07631
(347) 909-9896

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313488
NY

Other

Enumeration date
01/18/2013
Last updated
01/18/2013
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