GRANT WAYNE COOPER

GLENDALE, AZ
NPI1205825148
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  AP0851)
Enumeration Date2005-10-13
Last Update Date2007-07-08
Business Address
Mr. GRANT WAYNE COOPER MScN FNP
6336 W HONEYSUCKLE DR
GLENDALE, AZ 85310-1824
Phone number: 623-204-4914
Mailing Address
Mr. GRANT WAYNE COOPER MScN FNP
6336 W HONEYSUCKLE DR
GLENDALE, AZ 85310-1824
Phone number: 623-204-4914
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