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1780321067
COLEMAN ALEXANDER
JACKSONVILLE, AR
NPI
1780321067
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: AR 7765)
Enumeration Date
2022-05-17
Last Update Date
2022-05-17
Business Address
COLEMAN ALEXANDER
1108 W MAIN ST STE B
JACKSONVILLE, AR 72076-4486
Phone number: 501-672-4188
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Mailing Address
COLEMAN ALEXANDER
97 OTTO RD
VILONIA, AR 72173-9422
Phone number: 501-672-4188
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