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1851655633
DANIEL MARK COFFEY
TERRE HAUTE, IN
NPI
1851655633
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36001950A)
Enumeration Date
2012-06-27
Last Update Date
2012-06-27
Business Address
Mr. DANIEL MARK COFFEY ATC
200 N 7TH ST
TERRE HAUTE, IN 47809-1902
Phone number: 812-237-6311
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Mailing Address
Mr. DANIEL MARK COFFEY ATC
1776 SPRINGHAVEN CIR NE
MASSILLON, OH 44646-2571
Phone number: 330-844-3520
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