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1972046746
RONALD THOMAS COLEMAN
SOUTH HOLLAND, IL
NPI
1972046746
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: IL C45573861092)
Enumeration Date
2016-11-29
Last Update Date
2016-11-29
Business Address
-- RONALD THOMAS COLEMAN
16656 THORNTON AVE
SOUTH HOLLAND, IL 60473-2842
Phone number: 773-808-0673
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Mailing Address
-- RONALD THOMAS COLEMAN
16656 THORNTON AVE
SOUTH HOLLAND, IL 60473-2842
Phone number: 773-808-0673
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