Individual
MS. CAROL LYNN COXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4039 STONE RIDGE DR, JACKSON, MI 49201-8190
(517) 392-0202
Mailing address
4039 STONE RIDGE DR, JACKSON, MI 49201-8190
(517) 392-0202
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704172564
MI
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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