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1104199140
GREG COUGHLIN
WHEATON, IL
NPI
1104199140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-02-22
Last Update Date
2012-02-22
Business Address
-- GREG COUGHLIN
422 N PROSPECT ST
WHEATON, IL 60187-5839
Phone number: 630-682-7400
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Mailing Address
-- GREG COUGHLIN
111 N COUNTY FARM RD
WHEATON, IL 60187-3977
Phone number:
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