Individual
EVONNE COOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2926 KNOLLRIDGE DR, A, WEST CARROLLTON, OH 45449-3428
(937) 520-0001
Mailing address
2926 KNOLLRIDGE DR, A, WEST CARROLLTON, OH 45449-3428
(937) 520-0001
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
130231
OH
Other
Enumeration date
08/14/2009
Last updated
08/14/2009
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