GRANT COOPER

PUEBLO, CO
NPI1164857454
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-09-05
Last Update Date2013-09-05
Business Address
-- GRANT COOPER
1026 W ABRIENDO AVE
PUEBLO, CO 81004-1128
Phone number: 719-545-2746
Mailing Address
-- GRANT COOPER
1302 CHINOOK LN
PUEBLO, CO 81001-1851
Phone number: 719-545-2746
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