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Individual

MR. ALVAN ST AUBYN COKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3620 64TH AVE NE, NAPLES, FL 34120-2618
(239) 348-9928
Mailing address
3620 64TH AVE NE, NAPLES, FL 34120-2618
(239) 348-9928

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906348
FL

Other

Enumeration date
05/29/2013
Last updated
05/29/2013
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