Individual
MS. JILL MARTIN- COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
589 KING AVE, MARION, OH 43302-5319
(740) 815-0473
Mailing address
589 KING AVE, MARION, OH 43302-5319
(740) 361-3302
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN246590
OH
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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