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Individual

JODIE KAYE COTRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-5114
Mailing address
328 SW THORNE LN, FORT WHITE, FL 32038-2150
(386) 454-8963

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R87215
MS
163WC0200X
Critical Care Medicine Registered Nurse
041350284
IL
163WC0200X
Critical Care Medicine Registered Nurse
1105484
AL
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN 9261034
FL

Other

Enumeration date
05/14/2008
Last updated
05/14/2008
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