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1124516661
JARED COOPER
MACON, GA
NPI
1124516661
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Professional Name
JARED COOPER
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: GA 179606)
Enumeration Date
2018-04-30
Last Update Date
2021-05-10
Business Address
JARED COOPER NP
777 HEMLOCK ST
MACON, GA 31201-2102
Phone number: 478-633-1000
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Mailing Address
JARED COOPER NP
120 HICKSVILLE RD
BETHPAGE, NY 11714-3443
Phone number: 516-717-1839
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