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1558635789
EDWIN RAY COLEMAN
LOS ANGELES, CA
NPI
1558635789
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-03-06
Last Update Date
2012-03-21
Business Address
-- EDWIN RAY COLEMAN
2614 CRENSHAW BLVD.
LOS ANGELES, CA 90016
Phone number: 310-230-5574
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Mailing Address
-- EDWIN RAY COLEMAN
3026 9 TH AVE
LOS ANGELES, CA 90028
Phone number: 323-461-2817
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