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1417001280
MICHAEL MATTHEW COFFEY
PORT ANGELES, WA
NPI
1417001280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122400000X Denturist
(Licence: WA DN00000399)
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
-- MICHAEL MATTHEW COFFEY L.D.
616 E FRONT ST
PORT ANGELES, WA 98362-3320
Phone number: 360-457-6131
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Mailing Address
-- MICHAEL MATTHEW COFFEY L.D.
616 E FRONT ST
PORT ANGELES, WA 98362-3320
Phone number: 360-457-6131
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