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Individual
JEFFERY COBBS
Active
Individual
JEFFERY COBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN, RRT
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
308060
NY
2279G1100X
General Care Registered Respiratory Therapist
010280
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
308060
LPN LICENSE NUMBER
NY
Enumeration date
06/22/2019
Last updated
06/22/2019
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