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1336725191
COOPER TYE
FORT WORTH, TX
NPI
1336725191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-22
Last Update Date
2021-03-22
Business Address
COOPER TYE
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-702-3000
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Mailing Address
COOPER TYE
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-702-3000
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