Individual
CARL LEE COOGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18933 PINKLEY RD, FREDERICKTOWN, OH 43019-9363
(740) 390-9746
Mailing address
18933 PINKLEY RD, FREDERICKTOWN, OH 43019-9363
(740) 390-9746
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
RS890181
OH
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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