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Individual

MS. JENNIFER MEGAN COAKLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
143 MAPLE ST, LOGAN, OH 43138-1418
(740) 380-3974
Mailing address
143 MAPLE ST, LOGAN, OH 43138-1418
(740) 380-3974

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN317987
OH

Other

Enumeration date
01/07/2010
Last updated
01/07/2010
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