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1316312176
CRAIG COLEMAN
WEST ALLIS, WI
NPI
1316312176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
(Licence: WI C455-1178-7344-08)
Enumeration Date
2015-12-04
Last Update Date
2015-12-04
Business Address
-- CRAIG COLEMAN
2222 S 114TH ST
WEST ALLIS, WI 53227-1031
Phone number: 414-449-4444
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Mailing Address
-- CRAIG COLEMAN
2222 S 114TH ST
WEST ALLIS, WI 53227-1031
Phone number: 414-449-4444
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