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1366943268
LERON COLEMAN
PONTIAC, MI
NPI
1366943268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-02-26
Last Update Date
2018-02-26
Business Address
LERON COLEMAN CPRM
54 SENECA ST
PONTIAC, MI 48342-2349
Phone number: 248-396-9928
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Mailing Address
LERON COLEMAN CPRM
54 SENECA ST
PONTIAC, MI 48342-2349
Phone number: 248-396-9928
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