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1003108366
JEREMY R. COAKLEY
GREENVILLE, KY
NPI
1003108366
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KY A02641)
Enumeration Date
2011-05-05
Last Update Date
2011-05-05
Business Address
Mr. JEREMY R. COAKLEY PTA
515 GREENE DR
GREENVILLE, KY 42345-1409
Phone number: 270-338-5400
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Mailing Address
Mr. JEREMY R. COAKLEY PTA
515 GREENE DR
GREENVILLE, KY 42345-1409
Phone number: 270-338-5400
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