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1235231861
CHARLES COOPER
SAN DIEGO, CA
NPI
1235231861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY11387)
Enumeration Date
2006-09-03
Last Update Date
2007-07-08
Business Address
-- CHARLES COOPER PhD
4715 VIEWRIDGE AVE STE 230
SAN DIEGO, CA 92123-1680
Phone number: 800-257-8715
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Mailing Address
-- CHARLES COOPER PhD
12220 CULVER BLVD APT 5
LOS ANGELES, CA 90066-6283
Phone number: 310-313-9274
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