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1770152142
JOHN JOSEPH COFFEE
DETROIT, MI
NPI
1770152142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-06-21
Last Update Date
2021-06-21
Business Address
Mr. JOHN JOSEPH COFFEE CAS/CADC
19211 ANGLIN ST
DETROIT, MI 48234-1460
Phone number: 313-263-0077
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Mailing Address
Mr. JOHN JOSEPH COFFEE CAS/CADC
19211 ANGLIN ST
DETROIT, MI 48234-1460
Phone number: 313-263-0077
Copy
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