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Individual
MRS. SALLIE P COKE
Active
Individual
MRS. SALLIE P COKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN097198
GA
363LP0200X
Pediatric Nurse Practitioner
RN097198
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340260156A
—
GA
Enumeration date
09/12/2005
Last updated
07/08/2010
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