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Individual

MRS. LAURA D B COTHRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1225 CAVALIER WAY, ROEBUCK, SC 29376-3366
(864) 582-3479
(864) 342-8997
Mailing address
1225 CAVALIER WAY, ROEBUCK, SC 29376-3366
(864) 582-3479
(864) 342-8997

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P6225
SC

Other

Enumeration date
06/05/2013
Last updated
06/05/2013
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