MICHAEL ANTHONY COFFEE

PUEBLO, CO
NPI1700205648
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: CO  MT.0015292)
Enumeration Date2014-04-08
Last Update Date2014-04-08
Business Address
-- MICHAEL ANTHONY COFFEE
58 GLEN ROYAL DR
PUEBLO, CO 81005-2263
Phone number: 719-994-8655
Mailing Address
-- MICHAEL ANTHONY COFFEE
58 GLEN ROYAL DR
PUEBLO, CO 81005-2263
Phone number: 719-994-8655
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