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Individual

JOSEPH M COMAN II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
S.P.

Contact information

Practice address
2505 E JEFFERSON BLVD, SOUTH BEND, IN 46615-2635
(574) 289-4831
(574) 234-2075
Mailing address
PO BOX 1049, SOUTH BEND, IN 46624-1049
(574) 289-4831
(574) 234-2075

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
22002390A
IN
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200623120
IN
05
3000011276
IN
Enumeration date
05/01/2007
Last updated
04/20/2018
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