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1174638068
CHARLES IVERSON HOOPER
SACRAMENTO, CA
NPI
1174638068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A5310)
Enumeration Date
2006-08-20
Last Update Date
2022-03-07
Business Address
Dr. CHARLES IVERSON HOOPER D.O.
6339 MACK RD
SACRAMENTO, CA 95823-4655
Phone number: 916-454-2345
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Mailing Address
Dr. CHARLES IVERSON HOOPER D.O.
1860 HOWE AVE STE 440
SACRAMENTO, CA 95825-1098
Phone number: 916-569-8484
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