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1285814830
ROBERT CHARLTON COOPER
FORT MOORE, GA
NPI
1285814830
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: GA OT004016)
Enumeration Date
2007-11-13
Last Update Date
2024-09-30
Business Address
ROBERT CHARLTON COOPER OTR/L
6600 VAN AALST BLVD
FORT MOORE, GA 31905-2102
Phone number: 762-408-1617
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Mailing Address
ROBERT CHARLTON COOPER OTR/L
6600 VAN AALST BLVD
FORT MOORE, GA 31905-2102
Phone number: 762-408-1617
Copy
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