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1275070146
VERNARDUS COOPER
DOUGLASVILLE, GA
NPI
1275070146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2017-01-30
Last Update Date
2017-01-30
Business Address
-- VERNARDUS COOPER
5824 SARAZEN TRL
DOUGLASVILLE, GA 30135-7640
Phone number: 678-852-5524
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Mailing Address
-- VERNARDUS COOPER
5824 SARAZEN TRAIL
DOUGLASVILLE, GA 30135
Phone number: 678-852-5524
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