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1043840754
TRACY MICHELLE COFFMAN
POCATELLO, ID
NPI
1043840754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1835G0303X Pharmacist, Geriatric
(Licence: ID P5360)
Enumeration Date
2020-01-22
Last Update Date
2020-01-22
Business Address
TRACY MICHELLE COFFMAN
1023 YELLOWSTONE AVE STE J
POCATELLO, ID 83201-4478
Phone number: 208-233-2444
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Mailing Address
TRACY MICHELLE COFFMAN
1023 YELLOWSTONE AVE STE J
POCATELLO, ID 83201-4478
Phone number: 208-233-2444
Copy
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