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1093460321
ALEXIS COUGHLAN
NEW BRITAIN, CT
NPI
1093460321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 5491)
Enumeration Date
2022-02-15
Last Update Date
2022-02-15
Business Address
ALEXIS COUGHLAN PA-C
1 LAKE ST
NEW BRITAIN, CT 06052-1396
Phone number: 860-832-4666
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Mailing Address
ALEXIS COUGHLAN PA-C
138 STOCKADE RD
SOUTH GLASTONBURY, CT 06073-2115
Phone number: 860-713-3102
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