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1144804972
DESTINY COOPER
PRINCETON, WV
NPI
1144804972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-05-07
Last Update Date
2021-05-07
Business Address
DESTINY COOPER
712 MERCER ST STE D
PRINCETON, WV 24740-3114
Phone number: 304-431-2443
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Mailing Address
DESTINY COOPER
1205 HIGHLAND AVE
BLUEFIELD, WV 24701-2707
Phone number:
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