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1083151500
GARET COOPER
SALT LAKE CITY, UT
NPI
1083151500
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: UT 7091177-4405)
Enumeration Date
2017-01-22
Last Update Date
2017-05-01
Business Address
-- GARET COOPER AGACNP
5169 S COTTONWOOD ST 510
SALT LAKE CITY, UT 84107-6767
Phone number: 801-507-4701
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Mailing Address
-- GARET COOPER AGACNP
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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