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Earl Paul Coxson Jr.

Peer Specialist in Turnersville, NJ. Individual provider (NPI-1).

NPI number1639748601
StatusActive
Last updated in NPPESDec 2, 2021

Details

NPI
1639748601
Entity type
Individual (NPI-1)
Name
Earl Paul Coxson Jr.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 23, 2021
Certification date
Dec 2, 2021
Last updated
Dec 2, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer SpecialistCPRS-50011NJYes

Practice location

110 American Blvd Ste 5
Turnersville, NJ 08012-1767

Phone 856-352-5999 · Fax 856-516-0474

Mailing address

5105 N Park Dr Apt 51019
Pennsauken, NJ 08109-4630

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