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NPI Profile for SANDRA J COYNE in WORCESTER, MA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician |
| NPI Number | 1912527821 |
|
| Status | Active | |
| Credentials | LDO | |
| Entity | Individual | |
| Enumeration date | 04/21/2020 | |
| Last updated | 04/21/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SANDRA J COYNE
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SANDRA J COYNE, LDO