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Individual

COCQUESE MIKELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE/LPN

Contact information

Practice address
843 SWEETWATER WAY, MCDONOUGH, GA 30253-3785
(678) 891-8014
Mailing address
843 SWEETWATER WAY, MCDONOUGH, GA 30253-3785
(678) 891-8014

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN071036
GA

Other

Enumeration date
03/31/2011
Last updated
03/31/2011
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