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1013384262
JESSICA COOPER
PLYMOUTH, IN
NPI
1013384262
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 28192442A)
Enumeration Date
2015-08-24
Last Update Date
2015-08-24
Business Address
-- JESSICA COOPER FNP
1915 LAKE AVE
PLYMOUTH, IN 46563-9366
Phone number: 574-523-3160
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Mailing Address
-- JESSICA COOPER FNP
PO BOX 1241
SOUTH BEND, IN 46624-1241
Phone number: 855-691-9888
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