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1144774498
BRENT J COOPER
VANCOUVER, WA
NPI
1144774498
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WA AP60684465)
Enumeration Date
2016-08-04
Last Update Date
2016-08-04
Business Address
Mr. BRENT J COOPER NP
16703 SE MCGILLIVRAY BLVD STE 120
VANCOUVER, WA 98683-4300
Phone number: 360-566-4840
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Mailing Address
Mr. BRENT J COOPER NP
16703 SE MCGILLIVRAY BLVD STE 120
VANCOUVER, WA 98683-4300
Phone number: 360-566-4840
Copy
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