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1003484668
JESSICA COGHLAN
SANTA FE SPRINGS, CA
NPI
1003484668
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-06-11
Last Update Date
2021-06-11
Business Address
JESSICA COGHLAN
11015 BLOOMFIELD AVE
SANTA FE SPRINGS, CA 90670-4601
Phone number: 562-906-2676
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Mailing Address
JESSICA COGHLAN
11015 BLOOMFIELD AVE
SANTA FE SPRINGS, CA 90670-4601
Phone number: 562-906-2676
Copy
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