Individual
SUSAN COCKRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 421-5085
Mailing address
6448 IRIS WAY, ARVADA, CO 80004-2855
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
13378
CO
Other
Enumeration date
05/20/2007
Last updated
03/17/2008
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