Individual
MRS. SARAH ANN COAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 PORTLAND ST, COLUMBIA, MO 65201-6521
(573) 884-6052
Mailing address
205 PORTLAND ST, COLUMBIA, MO 65201-6521
(573) 884-6052
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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