Individual
GORDION COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
96 COUNTY ROAD 104, OXFORD, MS 38655-8459
(901) 633-0996
Mailing address
96 COUNTY ROAD 104, OXFORD, MS 38655-8459
(901) 633-0996
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14012
TN
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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