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1245765239
GREGORY J COOPER
KINGSPORT, TN
NPI
1245765239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TN MD61883)
Enumeration Date
2017-04-27
Last Update Date
2024-02-01
Business Address
GREGORY J COOPER
102 E RAVINE RD
KINGSPORT, TN 37660-3814
Phone number: 423-245-9600
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Mailing Address
GREGORY J COOPER
PO BOX 699
MOUNTAIN HOME, TN 37684-0699
Phone number: 423-245-9600
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