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Organization

LESLIE F. COUGHLAN, NP PA

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Organization

LESLIE F. COUGHLAN, NP PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LESLIE F COUGHLAN NP, PA (OWNER)
(561) 509-6109
Entity
Organization

Contact information

Practice address
2623 S. SEACREST BLVD., SUITE.116, BOYNTON BEACH, FL 33435-7531
(561) 509-6109
Mailing address
2623 S. SEACREST BLVD. SUITE.116, BOYNTON BEACH, FL 33435-7531
(561) 509-6109

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—

Other

Enumeration date
03/12/2014
Last updated
03/12/2014
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