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1104222173
CHARLES COOPER
CUSHING, OK
NPI
1104222173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OK 5163)
Enumeration Date
2014-11-18
Last Update Date
2014-11-18
Business Address
-- CHARLES COOPER
3200 S KINGS HWY
CUSHING, OK 74023-5355
Phone number: 918-225-3336
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Mailing Address
-- CHARLES COOPER
3200 S KINGS HWY
CUSHING, OK 74023-5355
Phone number: 918-225-3336
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