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1972184182
EDDIE COLEMAN
LODI, CA
NPI
1972184182
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-04-19
Last Update Date
2024-01-31
Business Address
EDDIE COLEMAN
1111 W TOKAY ST
LODI, CA 95240-3965
Phone number: 925-999-4119
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Mailing Address
EDDIE COLEMAN
1111 W TOKAY ST
LODI, CA 95240-3965
Phone number: 925-999-4119
Copy
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