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1033349543
RODERICK EUGENE COLEMAN
MINNEAPOLIS, MN
NPI
1033349543
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 301358)
Enumeration Date
2009-07-17
Last Update Date
2009-07-17
Business Address
Mr. RODERICK EUGENE COLEMAN LADC
1121 JACKSON ST NE 105
MINNEAPOLIS, MN 55413-1672
Phone number: 612-236-1712
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Mailing Address
Mr. RODERICK EUGENE COLEMAN LADC
2401 96TH AVE N
BROOKLYN PARK, MN 55444-1148
Phone number: 763-657-0265
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