AVERY COLEMAN

SAN BERNARDINO, CA
NPI1588016208
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  22523)
Enumeration Date2016-07-06
Last Update Date2016-07-06
Business Address
-- AVERY COLEMAN
2080 S E ST
SAN BERNARDINO, CA 92408-2773
Phone number: 909-388-9191
Mailing Address
-- AVERY COLEMAN
2080 S E ST
SAN BERNARDINO, CA 92408-2773
Phone number: 909-388-9191
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