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1053492710
CLIFFORD LOREN COLEMAN
CARBONDALE, IL
NPI
1053492710
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: IL 036060385)
Enumeration Date
2006-10-18
Last Update Date
2010-10-01
Business Address
-- CLIFFORD LOREN COLEMAN M.D.
1155 CEDAR CT
CARBONDALE, IL 62901-5333
Phone number: 618-549-3388
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Mailing Address
-- CLIFFORD LOREN COLEMAN M.D.
1155 CEDAR CT
CARBONDALE, IL 62901-5333
Phone number: 618-549-3388
Copy
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