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1144949405
CARLY COOPER
MOUNT PROSPECT, IL
NPI
1144949405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085.010051)
Enumeration Date
2022-08-22
Last Update Date
2024-02-27
Business Address
CARLY COOPER
1660 FEEHANVILLE DR STE 200
MOUNT PROSPECT, IL 60056-6036
Phone number: 847-823-3185
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Mailing Address
CARLY COOPER
1660 FEEHANVILLE DR STE 200
MOUNT PROSPECT, IL 60056-6036
Phone number: 847-823-3185
Copy
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