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1124317052
COCQUESE MIKELL
MCDONOUGH, GA
NPI
1124317052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN071036)
Enumeration Date
2011-03-31
Last Update Date
2011-03-31
Business Address
-- COCQUESE MIKELL Nurse/LPN
843 SWEETWATER WAY
MCDONOUGH, GA 30253-3785
Phone number: 678-891-8014
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Mailing Address
-- COCQUESE MIKELL Nurse/LPN
843 SWEETWATER WAY
MCDONOUGH, GA 30253-3785
Phone number: 678-891-8014
Copy
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