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Individual

JANIS COACHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1 VA CTR, AUGUSTA, ME 04330-6719
(207) 402-5321
Mailing address
PO BOX 1564, AUBURN, ME 04211-1564
(207) 402-5321

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN13286
ME

Other

Enumeration date
04/13/2015
Last updated
04/13/2015
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