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1285264259
ELAM COALSON
CHICAGO, IL
NPI
1285264259
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-01-18
Last Update Date
2020-01-18
Business Address
ELAM COALSON
5841 S MARYLAND AVE
CHICAGO, IL 60637-1443
Phone number: 312-967-9820
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Mailing Address
ELAM COALSON
937 E 54TH PL
CHICAGO, IL 60615-5050
Phone number: 312-967-9820
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