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1053689117
KIMBERLY COOPER
SALT LAKE CITY, UT
NPI
1053689117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-12-05
Last Update Date
2011-12-05
Business Address
Ms. KIMBERLY COOPER
344 EAST 100 SOUTH
SALT LAKE CITY, UT 84111
Phone number: 801-322-4257
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Mailing Address
Ms. KIMBERLY COOPER
6968 S. PARK RESERVE WAY APT #301
MIDVALE, UT 84047-4713
Phone number:
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