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1174261960
GARY COOPER
WHITE CITY, OR
NPI
1174261960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WC0400X Registered Nurse, Case Management
(Licence: OR 201404361RN)
Enumeration Date
2022-05-23
Last Update Date
2022-05-23
Business Address
GARY COOPER MSN-RN
8495 CRATER LAKE HWY
WHITE CITY, OR 97503-3011
Phone number: 541-826-2111
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Mailing Address
GARY COOPER MSN-RN
8495 CRATER LAKE HWY
WHITE CITY, OR 97503-3011
Phone number: 541-826-2111
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