Individual
TERRILL COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1302 LAIDLAW AVE, CINCINNATI, OH 45237
(513) 306-6033
Mailing address
1302 LAIDLAW AVE, CINCINNATI, OH 45237-5204
(513) 306-6033
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1972049963
OH
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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