Individual
LAURA ANNE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 HARLOW WAY, CAVE JUNCTION, OR 97523-9743
(541) 415-1126
Mailing address
140 HARLOW WAY, CAVE JUNCTION, OR 97523-9743
(541) 415-1126
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
839568
OR
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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