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1013425941
JACKIE COOPER
FORT COLLINS, CO
NPI
1013425941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Enumeration Date
2018-01-12
Last Update Date
2018-03-17
Business Address
JACKIE COOPER
3938 JOHN F KENNEDY PKWY UNIT 11C
FORT COLLINS, CO 80525-3087
Phone number: 970-227-6184
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Mailing Address
JACKIE COOPER
6132 TILDEN ST
FORT COLLINS, CO 80528-7117
Phone number: 970-227-6184
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