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1265052047
QUIANA LATOYA COOPER
RIVERSIDE, CA
NPI
1265052047
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95014362)
Enumeration Date
2020-04-21
Last Update Date
2020-04-21
Business Address
QUIANA LATOYA COOPER NP
6529 RIVERSIDE AVE STE 133
RIVERSIDE, CA 92506-3123
Phone number: 951-684-2627
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Mailing Address
QUIANA LATOYA COOPER NP
21875 PINEWOOD ST
PERRIS, CA 92570-7717
Phone number: 951-238-8387
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