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Individual

JENNIFER IVY COCHRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-1000
Mailing address
209 WIMBLEDON RD, MIDWEST CITY, OK 73130-4917

Taxonomy

Speciality
Code
Description
License number
State
2279C0205X
Critical Care Registered Respiratory Therapist
2279E0002X
Emergency Care Registered Respiratory Therapist
2279G0305X
Geriatric Care Registered Respiratory Therapist
2279G1100X
General Care Registered Respiratory Therapist
Primary

Other

Enumeration date
09/15/2022
Last updated
09/15/2022
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