THEAVIS COOPER

WESSON, MS
NPI1073064226
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2016-10-21
Last Update Date2019-02-26
Business Address
Mr. THEAVIS COOPER ATC
1028 JC REDD DR WESSON, MISSISSIPPI 39191
WESSON, MS 39191
Phone number: 601-643-8479
Mailing Address
Mr. THEAVIS COOPER ATC
507 HIGHWAY 51 N PO BOX 948
BROOKHAVEN, MS 39601
Phone number: 601-754-8008
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