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1245224591
J. COFFY PIETERNELLE
BEAUMONT, TX
NPI
1245224591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: TX H5946)
Enumeration Date
2005-09-01
Last Update Date
2024-11-12
Business Address
J. COFFY PIETERNELLE MD
5060 SHADOW LN
BEAUMONT, TX 77706-7632
Phone number: 409-899-1499
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Mailing Address
J. COFFY PIETERNELLE MD
5060 SHADOW LN
BEAUMONT, TX 77706-7632
Phone number: 409-656-1163
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