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1396155131
JUSTIN COFFMAN
WASILLA, AK
NPI
1396155131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: AK 1571)
Enumeration Date
2014-05-01
Last Update Date
2014-07-09
Business Address
Dr. JUSTIN COFFMAN D.D.S.
351 W SWANSON AVE STE 1
WASILLA, AK 99654-6853
Phone number: 907-376-5315
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Mailing Address
Dr. JUSTIN COFFMAN D.D.S.
351 W SWANSON AVE STE 1
WASILLA, AK 99654-6853
Phone number: 907-376-5315
Copy
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