Person Information

Name:LATITIA LYNNE COOPER

Address Information

Address(city state zipcode):Enon Valley PA16120

License Information

Type:Practical NurseSecondary Type:Number:PN275236
Profession:NursingStatus:ActiveDate This Status:12/12/2006
Issue Date:12/12/2006Expires:6/30/2016Last Renewed:6/4/2014

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