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1528526407
JOHN COUGHLIN
DEER PARK, NY
NPI
1528526407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 550967)
Enumeration Date
2019-03-09
Last Update Date
2019-03-09
Business Address
JOHN COUGHLIN
124 WRIGHT AVE
DEER PARK, NY 11729-2213
Phone number: 631-848-5745
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Mailing Address
JOHN COUGHLIN
124 WRIGHT AVE
DEER PARK, NY 11729-2213
Phone number: 631-848-5745
Copy
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