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1780135020
ETIENNA COLEMAN
SAINT LOUIS, MO
NPI
1780135020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: MO 81-3262557)
Enumeration Date
2016-10-21
Last Update Date
2016-12-30
Business Address
-- ETIENNA COLEMAN
3621 LOUISIANA AVE
SAINT LOUIS, MO 63118-3509
Phone number: 314-550-2990
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Mailing Address
-- ETIENNA COLEMAN
3621 LOUISIANA AVE
SAINT LOUIS, MO 63118-3509
Phone number: 314-550-2990
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