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1386897163
TAMMY A COFFER
CARBONDALE, IL
NPI
1386897163
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2008-10-24
Last Update Date
2008-10-24
Business Address
TAMMY A COFFER DT
2751 W MAIN ST
CARBONDALE, IL 62901-1000
Phone number: 618-529-5944
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Mailing Address
TAMMY A COFFER DT
2751 W MAIN ST
CARBONDALE, IL 62901-1000
Phone number: 618-529-5944
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