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1275878704
KERRY COUGHLIN
WORCESTER, MA
NPI
1275878704
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MA 3396)
Enumeration Date
2012-12-10
Last Update Date
2012-12-10
Business Address
-- KERRY COUGHLIN RD
55 LAKE AVE N
WORCESTER, MA 01655-0002
Phone number: 617-784-6271
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Mailing Address
-- KERRY COUGHLIN RD
79 WALNUT ST APT 12
NEWTON, MA 02460-1345
Phone number:
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