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1104227529
EBONI COFFEY
COLUMBIA, MD
NPI
1104227529
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MD A0000195)
Enumeration Date
2014-09-05
Last Update Date
2014-09-05
Business Address
-- EBONI COFFEY ATC, LAT
9410 KILIMANJARO RD
COLUMBIA, MD 21045-3955
Phone number: 410-313-6945
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Mailing Address
-- EBONI COFFEY ATC, LAT
1114 PINE HEIGHTS AVE
BALTIMORE, MD 21229-5210
Phone number: 410-952-5512
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