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1326484916
COCO COLLINS
SUFFERN, NY
NPI
1326484916
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 313839)
Enumeration Date
2013-05-22
Last Update Date
2013-05-22
Business Address
-- COCO COLLINS lpn
99 WASHINGTON AVE
SUFFERN, NY 10901-6026
Phone number: 312-479-4854
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Mailing Address
-- COCO COLLINS lpn
12 OWL DR
MILTON, NY 12547-5459
Phone number: 312-479-4854
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