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1346915907
NICOLE COOPER
HEPHZIBAH, GA
NPI
1346915907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376G00000X Nursing Home Administrator
Enumeration Date
2021-08-14
Last Update Date
2021-08-14
Business Address
NICOLE COOPER
4825 JASMINE WAY
HEPHZIBAH, GA 30815-5874
Phone number: 706-836-0979
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Mailing Address
NICOLE COOPER
2059 CLARK ST
AUGUSTA, GA 30904-3067
Phone number: 706-738-2996
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