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1124594130
COLEMAN LUIS FRESQUEZ
WATERFORD, MI
NPI
1124594130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-10-17
Last Update Date
2018-10-17
Business Address
COLEMAN LUIS FRESQUEZ
955 CAMPUS DR N
WATERFORD, MI 48328-2754
Phone number: 248-475-6300
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Mailing Address
COLEMAN LUIS FRESQUEZ
9240 STEEPHOLLOW DR
WHITE LAKE, MI 48386-2068
Phone number: 248-698-7730
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