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Individual

MRS. JENNIFER MARIE COGGIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
3580 ATLANTA AVE, HAPEVILLE, GA 30354-1706
(404) 768-3351
(404) 763-2002
Mailing address
3580 ATLANTA AVE, HAPEVILLE, GA 30354-1706
(404) 768-3351
(404) 763-2002

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN200377
GA

Other

Enumeration date
05/18/2011
Last updated
05/18/2011
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