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Individual

JULIAN COPE-EDWARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
178 PRISCILLA AVE, RIVERHEAD, NY 11901-3836
(631) 369-8701
(631) 369-8701
Mailing address
178 PRISCILLA AVE, RIVERHEAD, NY 11901-3836
(631) 369-8701
(631) 369-8701

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
34240793036E
NY

Other

Enumeration date
09/01/2014
Last updated
09/01/2014
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