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1194249169
CLINTARIUS COLEMAN
SHREVEPORT, LA
NPI
1194249169
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-08-01
Last Update Date
2021-11-18
Business Address
CLINTARIUS COLEMAN
3003 KNIGHT ST STE 115
SHREVEPORT, LA 71105-2561
Phone number: 225-993-3566
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Mailing Address
CLINTARIUS COLEMAN
2206 STOCKWELL RD
BOSSIER CITY, LA 71111-5700
Phone number: 225-993-3566
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