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1104192236
OCTAVIA COOPER
PHILADELPHIA, PA
NPI
1104192236
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC0400X Registered Nurse, Case Management
(Licence: PA RN-322666L)
Enumeration Date
2012-03-22
Last Update Date
2012-03-22
Business Address
-- OCTAVIA COOPER BSN, RN
1930 S BROAD ST
PHILADELPHIA, PA 19145-2328
Phone number: 215-339-4343
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Mailing Address
-- OCTAVIA COOPER BSN, RN
5 FIR CT
SICKLERVILLE, NJ 08081-2118
Phone number: 856-228-8545
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