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1750754131
TIMOTHY COUGHLIN
MEDFORD, OR
NPI
1750754131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C4533)
Enumeration Date
2015-11-05
Last Update Date
2018-05-03
Business Address
TIMOTHY COUGHLIN
900 E MAIN ST
MEDFORD, OR 97504-7136
Phone number: 541-842-7704
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Mailing Address
TIMOTHY COUGHLIN
900 E MAIN ST
MEDFORD, OR 97504-7136
Phone number: 541-842-7705
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