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Individual

MS. ANN M COOGLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RD,LD

Contact information

Practice address
107 RED FOX RUN, DUBLIN, GA 31021-4359
(478) 955-5012
Mailing address
107 RED FOX RUN, DUBLIN, GA 31021-4359
(478) 955-5012

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
795
GA

Other

Enumeration date
10/02/2013
Last updated
10/02/2013
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