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1104905744
THOMAS COGHLAN
MADISON, TN
NPI
1104905744
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN 29266)
Enumeration Date
2006-11-03
Last Update Date
2009-05-01
Business Address
-- THOMAS COGHLAN CRNA
154 CUDE LN
MADISON, TN 37115-2202
Phone number: 615-865-6268
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Mailing Address
-- THOMAS COGHLAN CRNA
PO BOX 488
MADISON, TN 37116-0488
Phone number: 615-865-6268
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