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1003025420
BRIAN R COGLIATI
DETROIT, MI
NPI
1003025420
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
Mr. BRIAN R COGLIATI
1852 W GRAND BLVD 1852 W. GRAND BLVD
DETROIT, MI 48208-1006
Phone number: 313-894-8444
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Mailing Address
Mr. BRIAN R COGLIATI
1852 W GRAND BLVD 1852 W. GRAND BLVD
DETROIT, MI 48208-1006
Phone number: 313-894-8444
Copy
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