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1194076067
CEDRIC JEROME COATES
MONROE, MI
NPI
1194076067
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-10-02
Last Update Date
2012-10-02
Business Address
Mr. CEDRIC JEROME COATES
14733 S TELEGRAPH RD
MONROE, MI 48161-9545
Phone number: 734-243-8707
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Mailing Address
Mr. CEDRIC JEROME COATES
1300 ELECTRIC AVE APT #311
LINCOLN PARK, MI 48146-5814
Phone number: 313-663-3673
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