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Individual

DANIEL FERLIN COLEMAN II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3550 W CHEYENNE AVE STE 130, NORTH LAS VEGAS, NV 89032-8252
(702) 331-1917
(702) 331-5219
Mailing address
3550 W CHEYENNE AVE STE 130, NORTH LAS VEGAS, NV 89032-8252
(702) 331-1917
(702) 331-5219

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/29/2019
Last updated
10/29/2019
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