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1740831767
JACQUELINE RENEE COGHILL
EUREKA, CA
NPI
1740831767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: CA 95012163)
Enumeration Date
2019-09-20
Last Update Date
2019-09-20
Business Address
JACQUELINE RENEE COGHILL
WATERFRONT RECOVERY SERVICES 2413 2ND ST
EUREKA, CA 95501
Phone number: 707-269-9590
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Mailing Address
JACQUELINE RENEE COGHILL
3126 J ST
EUREKA, CA 95503-5416
Phone number: 707-599-6736
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