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1104111392
RICHARD BLAKE COOPER
IRVING, TX
NPI
1104111392
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
247200000X Technician, Other
Enumeration Date
2011-06-15
Last Update Date
2011-06-15
Business Address
-- RICHARD BLAKE COOPER ATP
2930 SKYWAY CIR N
IRVING, TX 75038-3509
Phone number: 972-623-7177
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Mailing Address
-- RICHARD BLAKE COOPER ATP
14045 RAWHIDE PKWY
FARMERS BRANCH, TX 75234-3648
Phone number: 972-623-7177
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