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1386885689
TABATHA IRENE COGHLAN
ELYRIA, OH
NPI
1386885689
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: OH 400263440703)
Enumeration Date
2009-03-16
Last Update Date
2009-03-16
Business Address
Mrs. TABATHA IRENE COGHLAN S.T.N.A
2119 MIDDLE AVE
ELYRIA, OH 44035-7878
Phone number: 440-310-1352
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Mailing Address
Mrs. TABATHA IRENE COGHLAN S.T.N.A
2119 MIDDLE AVE
ELYRIA, OH 44035-7878
Phone number: 440-310-1352
Copy
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