Individual
JACOB COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11706 W PLANADA CT, SUN CITY, AZ 85373-5412
(623) 693-1960
Mailing address
11706 W PLANADA CT, SUN CITY, AZ 85373-5412
(623) 693-1960
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E91572133
AZ
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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