Antionette Ruby Coates

NPI #1306615729 in Blaine, Minnesota

Provider Information

NPI Number: 1306615729
Entity Type: Individual
Name: Antionette Ruby Coates
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Dec 27, 2023
Last Updated: Dec 27, 2023

Practice Location

Address: 9912 FILLMORE ST NE
City: Blaine
State: Minnesota
ZIP Code: 55434-3533
Phone: (612) 296-1991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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