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1164628806
ROY LEE COGGIN
FARMVILLE, NC
NPI
1164628806
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224L00000X Pedorthist
Additional Taxonomies
225000000X Orthotic Fitter
Enumeration Date
2007-06-21
Last Update Date
2012-11-15
Business Address
MR. ROY LEE COGGIN CPED,COF
3708 N MAIN ST.
FARMVILLE, NC 27828-1434
Phone number: 252-753-2092
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Mailing Address
MR. ROY LEE COGGIN CPED,COF
PO BOX 690
FARMVILLE, NC 27828-0690
Phone number: 252-753-2092
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