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1366176711
DURKIN SHANE COUGHLAN
HICKSVILLE, NY
NPI
1366176711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2022-07-12
Last Update Date
2022-07-15
Business Address
DURKIN SHANE COUGHLAN
950 S OYSTER BAY RD
HICKSVILLE, NY 11801-3510
Phone number: 516-822-6111
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Mailing Address
DURKIN SHANE COUGHLAN
950 S OYSTER BAY RD
HICKSVILLE, NY 11801-3510
Phone number:
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