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1053144352
TINA COOP
FREDERICK, MD
NPI
1053144352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD r243396)
Enumeration Date
2024-08-22
Last Update Date
2024-11-11
Business Address
TINA COOP
74 THOMAS JOHNSON DR
FREDERICK, MD 21702-4501
Phone number: 301-694-9033
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Mailing Address
TINA COOP
1570 WHEYFIELD DR
FREDERICK, MD 21701-2511
Phone number: 240-586-1903
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