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1285088351
GARY COLEMAN
HANFORD, CA
NPI
1285088351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-04-14
Last Update Date
2016-04-14
Business Address
Mr. GARY COLEMAN
700 N IRWIN ST
HANFORD, CA 93230-3814
Phone number: 559-583-9300
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Mailing Address
Mr. GARY COLEMAN
11517 15TH AVE
LEMOORE, CA 93245-9508
Phone number: 559-380-0800
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