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Individual

ROCHELLE COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNS

Contact information

Practice address
20 WATERTOWN ST, WATERTOWN, MA 02472-2505
(617) 647-0323
(508) 746-4140
Mailing address
1316 POSEIDON PT, VERO BEACH, FL 32963-3144
(617) 924-0851
(617) 923-7073

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
165764
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1851683
MA
01
PN0359
BCBS
MA
Enumeration date
06/08/2006
Last updated
10/25/2007
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