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Individual

MS. THERESA JANE COLEMAN I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD,LD

Contact information

Practice address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(419) 526-8216
Mailing address
17 DEVON RD, LEXINGTON, OH 44904-1018
(419) 989-5167

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3507
OH

Other

Enumeration date
04/20/2007
Last updated
07/08/2007
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