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1063037315
CHARLES ROBERT COOLEY
MERIDIAN, ID
NPI
1063037315
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ID D-5153)
Enumeration Date
2020-06-12
Last Update Date
2020-06-12
Business Address
Dr. CHARLES ROBERT COOLEY DMD
2630 S EAGLE RD
MERIDIAN, ID 83642-6704
Phone number: 208-888-0625
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Mailing Address
Dr. CHARLES ROBERT COOLEY DMD
2630 S EAGLE RD
MERIDIAN, ID 83642-6704
Phone number: 208-888-0625
Copy
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