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1083162705
STACIE COOPER
WARRIOR, AL
NPI
1083162705
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AL 1106944)
Enumeration Date
2016-09-12
Last Update Date
2016-09-12
Business Address
-- STACIE COOPER CRNP
143 WHITE OAK TRL SUITE 2
WARRIOR, AL 35180-5736
Phone number: 205-647-1819
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Mailing Address
-- STACIE COOPER CRNP
5187 STONEHAVEN DR
BIRMINGHAM, AL 35244-3454
Phone number: 205-283-1033
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