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1174392484
COOPER LEE TIMM
RAPID CITY, SD
NPI
1174392484
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2023-12-28
Last Update Date
2023-12-28
Business Address
COOPER LEE TIMM M.S.
2902 W MAIN ST
RAPID CITY, SD 57702-8132
Phone number: 605-721-8822
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Mailing Address
COOPER LEE TIMM M.S.
2902 W MAIN ST
RAPID CITY, SD 57702-8132
Phone number:
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