JENNIFER LYNN COFFEEN

LA PORTE, IN
NPI1437711785
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: IN  05013129A)
Enumeration Date2019-07-07
Last Update Date2019-07-07
Business Address
JENNIFER LYNN COFFEEN
604 LEGACY PLZ W
LA PORTE, IN 46350-5268
Phone number: 219-362-8761
Mailing Address
JENNIFER LYNN COFFEEN
1405 FARRAND AVE
LA PORTE, IN 46350-5975
Phone number: 219-575-0786
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