Individual
DR. JASON R COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
87 WEST MAIN ST., DRYDEN, NY 13053
(607) 283-1280
Mailing address
PO BOX 113, FREEVILLE, NY 13068-0113
(607) 283-1280
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
70 011737
NY
Other
Enumeration date
10/22/2008
Last updated
05/17/2010
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