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1306588991
EVELYN R COLEMAN
GREENVILLE, MS
NPI
1306588991
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
305S00000X Point of Service
Additional Taxonomies
305S00000X Point of Service
Enumeration Date
2022-04-13
Last Update Date
2022-04-13
Business Address
EVELYN R COLEMAN
1662 DEBRA DR
GREENVILLE, MS 38703-7817
Phone number: 662-347-5965
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Mailing Address
EVELYN R COLEMAN
1662 DEBRA DR
GREENVILLE, MS 38703-7817
Phone number: 662-347-5965
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