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Individual
VICCARRA RACHEL COKER
Active
Individual
VICCARRA RACHEL COKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
273888
NY
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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