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1134528003
QUELYN COLEMAN
N LAS VEGAS, NV
NPI
1134528003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
302R00000X Health Maintenance Organization
Enumeration Date
2014-08-17
Last Update Date
2014-08-17
Business Address
-- QUELYN COLEMAN
2609 RAINBOW GLOW ST
N LAS VEGAS, NV 89030-3709
Phone number: 702-561-0866
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Mailing Address
-- QUELYN COLEMAN
2609 RAINBOW GLOW ST
N LAS VEGAS, NV 89030-3709
Phone number: 702-561-0866
Copy
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