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1134865272
JILLIAN COOPER
FORT GIBSON, OK
NPI
1134865272
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OK 3257)
Enumeration Date
2022-05-11
Last Update Date
2022-05-11
Business Address
JILLIAN COOPER RDH
801 S LEE ST STE A
FORT GIBSON, OK 74434-8710
Phone number: 918-478-4433
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Mailing Address
JILLIAN COOPER RDH
113 NORH 6 MILE LANE
FORT GIBSON, OK 74434
Phone number: 918-869-0089
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