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1932815453
JENNA COAKLEY
MYRTLE BEACH, SC
NPI
1932815453
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 26988)
Enumeration Date
2023-01-27
Last Update Date
2023-01-27
Business Address
JENNA COAKLEY NP
8170 ROURK ST
MYRTLE BEACH, SC 29572-4127
Phone number: 843-449-0453
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Mailing Address
JENNA COAKLEY NP
1149 BRAGGS WAY UNIT 3408
MYRTLE BEACH, SC 29572-4677
Phone number: 602-321-9998
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