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1720358336
COREY B COGBURN
MARTIN, TN
NPI
1720358336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TN 0000075787)
Enumeration Date
2012-01-12
Last Update Date
2012-01-12
Business Address
COREY B COGBURN LPN
920 UNIVERSITY ST
MARTIN, TN 38237-1605
Phone number: 731-588-5829
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Mailing Address
COREY B COGBURN LPN
PO BOX 640
MCMINNVILLE, TN 37111-0640
Phone number: 931-507-1212
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