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Individual
MR. WARD EARL COUGHLIN
Active
Individual
MR. WARD EARL COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
025355-1
NY
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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