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1104238948
JACOB S COOPER
OGDEN, UT
NPI
1104238948
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 7241132-2401)
Enumeration Date
2014-05-28
Last Update Date
2017-01-18
Business Address
-- JACOB S COOPER DPT
4700 HARRISON BLVD
OGDEN, UT 84403-4303
Phone number: 801-475-3870
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Mailing Address
-- JACOB S COOPER DPT
PO BOX 5546
DENVER, CO 80217-5546
Phone number: 801-475-3870
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