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1205196383
ROBERT TYRONE COICAN
VALPARAISO, IN
NPI
1205196383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: IN 11189)
Enumeration Date
2012-05-22
Last Update Date
2012-05-22
Business Address
Mr. ROBERT TYRONE COICAN rph
252 MORTHLAND DR
VALPARAISO, IN 46383-6202
Phone number: 219-464-9776
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Mailing Address
Mr. ROBERT TYRONE COICAN rph
1132 COUNTRY CLUB DR
CROWN POINT, IN 46307-9344
Phone number: 219-988-2980
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