Individual
GRECY ANN BAVIERA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
7027 LEMERT LN, REYNOLDSBURG, OH 43068-3041
(614) 900-3048
Mailing address
7027 LEMERT LN, REYNOLDSBURG, OH 43068-3041
(614) 900-3048
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN146545
OH
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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