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1205123171
JIMMY COOPER
PORTSMOUTH, VA
NPI
1205123171
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024169299)
Enumeration Date
2011-06-29
Last Update Date
2022-01-21
Business Address
Dr. JIMMY COOPER DHA, FNP-C
3520 HIGH ST STE 100
PORTSMOUTH, VA 23707-3126
Phone number: 757-338-4012
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Mailing Address
Dr. JIMMY COOPER DHA, FNP-C
3520 HIGH ST STE 100
PORTSMOUTH, VA 23707-3126
Phone number: 757-977-9675
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