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Individual
KRYSTIN COUGHLIN
Active
Individual
KRYSTIN COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00021060
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198448
DEPT OF LABOR & INDUSTRY
WA
01
—
3669CO
REGENCE BLUE SHIELD
WA
01
—
8906263
CRIME VICTIMS
WA
Enumeration date
11/08/2006
Last updated
09/24/2014
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