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1003669359
DESTINE COOPER
ROCHESTER, NY
NPI
1003669359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 350093)
Enumeration Date
2024-04-08
Last Update Date
2024-04-08
Business Address
DESTINE COOPER
240 ONEIDA ST
ROCHESTER, NY 14621-4032
Phone number: 585-415-1429
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Mailing Address
DESTINE COOPER
240 ONEIDA ST
ROCHESTER, NY 14621-4032
Phone number:
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