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1548763329
FREDERICK COAKLEY
LAS VEGAS, NV
NPI
1548763329
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2018-03-17
Last Update Date
2018-03-17
Business Address
FREDERICK COAKLEY
8971 FORT CRESTWOOD DR
LAS VEGAS, NV 89129-3639
Phone number: 424-307-7118
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Mailing Address
FREDERICK COAKLEY
8971 FORT CRESTWOOD DR
LAS VEGAS, NV 89129-3639
Phone number: 424-307-7118
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