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1922328970
SHAWN WESLEY COLEMAN
POCATELLO, ID
NPI
1922328970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-06-01
Last Update Date
2010-06-01
Business Address
SHAWN WESLEY COLEMAN BA, PSYCHOLOGY
2446 COLEMAN ST
POCATELLO, ID 83201-2103
Phone number: 208-406-7994
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Mailing Address
SHAWN WESLEY COLEMAN BA, PSYCHOLOGY
2446 COLEMAN ST
POCATELLO, ID 83201-2103
Phone number: 208-406-7994
Copy
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