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1720644925
OLIVIA COUGHLIN
ROCKVILLE CENTRE, NY
NPI
1720644925
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 024025)
Enumeration Date
2019-05-13
Last Update Date
2019-09-16
Business Address
OLIVIA COUGHLIN
83 SHERMAN AVE
ROCKVILLE CENTRE, NY 11570-3135
Phone number: 516-672-2112
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Mailing Address
OLIVIA COUGHLIN
83 SHERMAN AVE
ROCKVILLE CENTRE, NY 11570-3135
Phone number:
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