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1154185098
MIKAYLA COLEMAN
MANORVILLE, NY
NPI
1154185098
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2024-02-12
Last Update Date
2024-02-12
Business Address
MIKAYLA COLEMAN
416 WEEKS AVE
MANORVILLE, NY 11949-2036
Phone number: 631-284-8824
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Mailing Address
MIKAYLA COLEMAN
14202 20TH AVE
FLUSHING, NY 11351-3000
Phone number:
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