KATRINA MAVIS COBURN

JACKSON, MI
NPI1710344270
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: MI  2902013530)
Enumeration Date2016-01-28
Last Update Date2021-03-23
Business Address
KATRINA MAVIS COBURN RDH
505 N JACKSON ST
JACKSON, MI 49201-1266
Phone number: 517-748-5500
Mailing Address
KATRINA MAVIS COBURN RDH
505 N JACKSON ST
JACKSON, MI 49201-1266
Phone number: 517-748-5500
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