Individual
MRS. JULIE RAY COON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
227 CLAY RD, SPENCER, WV 25276-6906
(304) 927-5200
(304) 927-5201
Mailing address
435 W MAIN ST, SPENCER, WV 25276-1133
(304) 927-5395
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27027
WV
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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