Individual
JENNIFER ANN COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
313 MANITO TRL, MERCER, PA 16137-9327
(440) 552-2322
(724) 475-4935
Mailing address
508 DICKSON ST, STE 2, WELLINGTON, OH 44090-1300
(440) 647-0712
(440) 647-0749
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
34007685
OH
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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