Individual
HOLLY COFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6129 E 570 RD, LOCUST GROVE, OK 74352-6104
(918) 798-1594
Mailing address
PO BOX 1171, LOCUST GROVE, OK 74352-1171
(918) 798-1594
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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