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1144693227
MICHAEL COOPER
SLIDELL, LA
NPI
1144693227
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: LA 009332998)
Enumeration Date
2015-11-11
Last Update Date
2015-11-11
Business Address
-- MICHAEL COOPER
2053 GAUSE BLVD E
SLIDELL, LA 70461-5449
Phone number: 985-290-1619
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Mailing Address
-- MICHAEL COOPER
2053 GAUSE BLVD E
SLIDELL, LA 70461-5449
Phone number:
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