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1336825280
DONTE LEVON COLEMAN
CONCORD, NC
NPI
1336825280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
(Licence: NC 93-1644495)
Enumeration Date
2023-06-26
Last Update Date
2023-06-26
Business Address
DONTE LEVON COLEMAN
305 KENBROOK LN NW APT 101
CONCORD, NC 28027-0122
Phone number: 609-203-3170
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Mailing Address
DONTE LEVON COLEMAN
305 KENBROOK LN NW APT 101
CONCORD, NC 28027-0122
Phone number: 609-203-3170
Copy
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