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1407452287
CHARLES COUGHLIN
GRESHAM, OR
NPI
1407452287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: OR 6099)
Enumeration Date
2020-12-08
Last Update Date
2020-12-08
Business Address
Dr. CHARLES COUGHLIN DC
22124 NE GLISAN ST
GRESHAM, OR 97030-8553
Phone number: 503-618-0147
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Mailing Address
Dr. CHARLES COUGHLIN DC
22124 NE GLISAN ST
GRESHAM, OR 97030-8553
Phone number: 503-618-0147
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