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1790233302
TERESA COFFMAN
GRAND RAPIDS, MI
NPI
1790233302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703065143)
Enumeration Date
2016-09-13
Last Update Date
2016-09-13
Business Address
-- TERESA COFFMAN LPN
3492 LAKE DR SE
GRAND RAPIDS, MI 49546-4338
Phone number: 616-957-4057
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Mailing Address
-- TERESA COFFMAN LPN
3492 LAKE DR SE
GRAND RAPIDS, MI 49546-4338
Phone number: 616-957-4057
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