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1013507227
AMY DAWN COOPER
CHARLESTON, WV
NPI
1013507227
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-01-21
Last Update Date
2021-01-21
Business Address
AMY DAWN COOPER
4874 CABIN CREEK ROAD
CHARLESTON, WV 25134
Phone number: 681-799-0334
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Mailing Address
AMY DAWN COOPER
4874 CABIN CREEK ROAD 4874 CABIN CREEK ROAD
MIAMI, WV 25134-0277
Phone number: 681-799-0334
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