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1063235331
MAX ROBERT COUCH
SUFFOLK, VA
NPI
1063235331
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: IL 041567463)
Enumeration Date
2024-11-05
Last Update Date
2024-11-05
Business Address
MAX ROBERT COUCH RN
1500 BRIDGEPORT WAY
SUFFOLK, VA 23435-1956
Phone number: 217-371-0066
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Mailing Address
MAX ROBERT COUCH RN
1500 BRIDGEPORT WAY APT 212
SUFFOLK, VA 23435-1961
Phone number: 217-371-0066
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