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1750973103
LACI COFFMAN
MULLENS, WV
NPI
1750973103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2021-02-08
Last Update Date
2021-02-08
Business Address
LACI COFFMAN
695 MOUNTAINEER HWY
MULLENS, WV 25882-0255
Phone number: 304-294-8800
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Mailing Address
LACI COFFMAN
695 MOUNTAINEER HWY
MULLENS, WV 25882-0255
Phone number: 304-294-8800
Copy
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