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1447977129
ANNA COFFEY BRAXTON
PINEVILLE, LA
NPI
1447977129
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Former Name
ANNA CLAIRE COFFEY
Entity Type
Individual
Gender
N/A
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA 338325)
Enumeration Date
2022-10-24
Last Update Date
2023-10-10
Business Address
ANNA COFFEY BRAXTON
1135 EXPRESSWAY DR
PINEVILLE, LA 71360-6653
Phone number: 318-487-7951
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Mailing Address
ANNA COFFEY BRAXTON
606 MELROSE AVE
NATCHITOCHES, LA 71457-5618
Phone number: 318-554-9662
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