BLAINE COLEMAN

PHILADELPHIA, PA
NPI1326207465
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2008-06-04
Last Update Date2008-06-04
Business Address
-- BLAINE COLEMAN
1401 S 4TH ST 4TH FLOOR
PHILADELPHIA, PA 19147-5907
Phone number: 215-339-1070
Mailing Address
-- BLAINE COLEMAN
432 N 6TH ST
PHILADELPHIA, PA 19123-4004
Phone number: