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1235972027
TAYLOR J COLEMAN
COLVILLE, WA
NPI
1235972027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2024-06-18
Last Update Date
2024-06-18
Business Address
TAYLOR J COLEMAN
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number:
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Mailing Address
TAYLOR J COLEMAN
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
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