UPI (Provider ID): 13005
Change Report (if Any):

Short Name: COLEMAN - AKRON

Long Name 1: COLEMAN PROFESSIONAL SERVICES
Long Name 2:

Address 1: 20 OLIVE STREET
Address 2: SUITE 405

City: AKRON
Zip Code: 44310
County: SUMM

Contact: BEN DABBS
Title: CFO
Phone: 3305417876
FAX: .

Vendor: 8215

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/28/2011

File Produced: 14JUL2016