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Individual

MRS. JUDE ANNERYAN COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, LSN

Contact information

Practice address
1200 W. DOROTHY LANE,, SOUTHDALE ELEMENTARY SCHOOL,, KETTERING, OH 45409
(937) 499-1890
(937) 499-1909
Mailing address
3750 FAR HILLS AVENUE, KETTERING CITY SCHOOLS,, KETTERING, OH 45429-2584
(937) 499-1473
(937) 499-1516

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN208723
OH
163WS0200X
School Registered Nurse
MA100971
OH

Other

Enumeration date
05/07/2014
Last updated
05/08/2014
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