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1881073252
LAKESHIA COOPER
AMITYVILLE, NY
NPI
1881073252
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Professional Name
LAKESHIA JEANNETTE COOPER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
(Licence: NY 00287717)
Enumeration Date
2015-05-19
Last Update Date
2015-05-19
Business Address
-- LAKESHIA COOPER
550 BROADWAY
AMITYVILLE, NY 11701-2148
Phone number: 631-842-1639
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Mailing Address
-- LAKESHIA COOPER
550 BROADWAY
AMITYVILLE, NY 11701-2148
Phone number: 631-842-1639
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