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1790390110
JAQUELINE COFFMAN
BRADENTON, FL
NPI
1790390110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2020-09-11
Last Update Date
2020-09-11
Business Address
JAQUELINE COFFMAN
3823 E STATE ROAD 64
BRADENTON, FL 34208-9041
Phone number: 941-745-5111
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Mailing Address
JAQUELINE COFFMAN
3823 E STATE ROAD 64
BRADENTON, FL 34208-9041
Phone number: 941-745-5111
Copy
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