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1316339385
JUSTIN CHARLES COOPER
CENTRALIA, WA
NPI
1316339385
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA60640498)
Enumeration Date
2015-02-26
Last Update Date
2017-02-22
Business Address
-- JUSTIN CHARLES COOPER PA-C
1800 COOKS HILL RD SUITE F
CENTRALIA, WA 98531-9072
Phone number: 360-827-6700
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Mailing Address
-- JUSTIN CHARLES COOPER PA-C
PO BOX 3360
PORTLAND, OR 97208-3360
Phone number:
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