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1164181764
DE'NAYSHA COLEMAN
BLOOMINGTON, CA
NPI
1164181764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-12-10
Last Update Date
2021-12-10
Business Address
DE'NAYSHA COLEMAN
18612 SANTA ANA AVE SPC 3
BLOOMINGTON, CA 92316-2639
Phone number: 909-421-7120
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Mailing Address
DE'NAYSHA COLEMAN
18612 SANTA ANA AVE SPC 3
BLOOMINGTON, CA 92316-2639
Phone number: 909-421-7120
Copy
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