MICHAEL PAUL COFFMAN

GREAT LAKES, IL
NPI1184883688
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date2008-06-09
Last Update Date2008-06-09
Business Address
MR. MICHAEL PAUL COFFMAN IDC
601 D STREET
GREAT LAKES, IL 60088-2822
Phone number: 847-688-4903
Mailing Address
MR. MICHAEL PAUL COFFMAN IDC
601 D ST
GREAT LAKES, IL 60088-2822
Phone number: 847-688-4903
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