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Jake Thomas Coffman
Student in an Organized Health Care Education/Training Program in Fulton, Missouri
NPI 1487112678

Jake Thomas Coffman is a Student in an Organized Health Care Education/Training Program based in Fulton, MO. Jake Thomas Coffman practices in Fulton, MO. The NPI Number for Jake Thomas Coffman is 1487112678 and holds a License No. (Missouri).

The current practice location address for Jake Thomas Coffman is 3846 Saratoga Ct, Fulton, MO and can be reached out via phone at 573-673-4157.

Location: 3846 Saratoga Ct, Fulton, MO, 65251-3066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487112678
Provider Name
Jake Thomas Coffman
Credential
Provider Entity Type
Individual
Gender
Male
Address
3846 Saratoga Ct, Fulton, MO, 65251-3066
Phone Number
573-673-4157
Fax Number
Provider Enumeration Date
03/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3846 Saratoga Ct
City
Fulton
State
Missouri
Zip
65251-3066
Phone Number
573-673-4157
Fax Number
person
Provider Business Mailing Address Details
Address
3846 Saratoga Ct
City
Fulton
State
Missouri
Zip
65251-3066
Phone Number
573-673-4157
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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