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1396025805
JACOB COUGHLIN
KALAMAZOO, MI
NPI
1396025805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601006106)
Enumeration Date
2011-08-29
Last Update Date
2023-02-09
Business Address
Mr. JACOB COUGHLIN PA-C
4613 W MAIN ST STE A
KALAMAZOO, MI 49006-2698
Phone number: 269-488-8672
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Mailing Address
Mr. JACOB COUGHLIN PA-C
601 JOHN STREET BOX 42
KALAMAZOO, MI 49007
Phone number:
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