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1962280545
ANGELIQUE COFFIN
BILOXI, MS
NPI
1962280545
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Former Name
ANGELIQUE VERONICA COWAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MS 896462)
Enumeration Date
2023-09-15
Last Update Date
2023-09-15
Business Address
ANGELIQUE COFFIN AGNP
971 TOMMY MUNRO DR
BILOXI, MS 39532-2137
Phone number: 228-207-1777
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Mailing Address
ANGELIQUE COFFIN AGNP
14140 BIG CREEK RD
GULFPORT, MS 39503-7893
Phone number: 228-328-8780
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