Individual
LEAH COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 BRADLEY DR, MOUNTAIN HOME, AR 72653-2730
(870) 421-4550
Mailing address
PO BOX 2533, MOUNTAIN HOME, AR 72654-2533
(870) 421-4550
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ARKANSAS TEACHING
AR
Other
Enumeration date
05/31/2011
Last updated
05/31/2011
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