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1659922094
DEMETRIC ANTWON COLSTON
HOUSTON, TX
NPI
1659922094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Additional Taxonomies
376K00000X Nurse's Aide
Enumeration Date
2019-09-26
Last Update Date
2019-09-26
Business Address
DEMETRIC ANTWON COLSTON
6928 LANDOR ST
HOUSTON, TX 77028-3044
Phone number: 346-757-7884
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Mailing Address
DEMETRIC ANTWON COLSTON
6928 LANDOR ST
HOUSTON, TX 77028-3044
Phone number:
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