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1053423731
GEORGE R COOPER
FORT WAYNE, IN
NPI
1053423731
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 12008379)
Enumeration Date
2006-08-31
Last Update Date
2022-04-19
Business Address
Dr. GEORGE R COOPER D.D.S.
2121 E. DUPONT ROAD SUITE E
FORT WAYNE, IN 46845
Phone number: 260-489-1508
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Mailing Address
Dr. GEORGE R COOPER D.D.S.
2121 E. DUPONT ROAD SUITE E
FORT WAYNE, IN 46845
Phone number: 260-489-1508
Copy
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