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AUSTIN COY

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1396218475

Individual Registrant:
 AUSTIN  COY 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
711 BARNES AVE  LA JUNTA, CO 81050-2138 US
Tel: 800-511-5446  Fax: --

Contact information for business:
711 BARNES AVE  LA JUNTA, CO 81050-2138 US
Tel: 800-511-5446  Fax: --

Registration Information:
NPI: 1396218475
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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