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1467934331
FAITH MADDEN KOFFRON
SAINT CHARLES, MO
NPI
1467934331
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-09-06
Last Update Date
2018-09-06
Business Address
FAITH MADDEN KOFFRON
209 S KINGSHIGHWAY ST
SAINT CHARLES, MO 63301-1693
Phone number: 636-949-4949
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Mailing Address
FAITH MADDEN KOFFRON
436 S MADISON ST
HINSDALE, IL 60521-3966
Phone number:
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