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1215485941
TIFFANY COOPER
LAKE GROVE, NY
NPI
1215485941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 22 686754)
Enumeration Date
2016-09-12
Last Update Date
2016-09-12
Business Address
-- TIFFANY COOPER
99 ORIENTA AVE
LAKE GROVE, NY 11755-2517
Phone number: 631-681-5192
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Mailing Address
-- TIFFANY COOPER
PO BOX 325
SELDEN, NY 11784-0325
Phone number: 631-681-5192
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