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1972017200
BRENDON COUGHLIN
MONMOUTH JUNCTION, NJ
NPI
1972017200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-11-22
Last Update Date
2017-11-22
Business Address
BRENDON COUGHLIN
4326 US HIGHWAY 1
MONMOUTH JUNCTION, NJ 08852-1906
Phone number: 732-235-5910
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Mailing Address
BRENDON COUGHLIN
671 HOES LN W
PISCATAWAY, NJ 08854-8021
Phone number:
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