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1366047805
TOMIE SUE COOPER
URBANA, OH
NPI
1366047805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2020-12-02
Last Update Date
2020-12-02
Business Address
TOMIE SUE COOPER
719 MOSGROVE ST APT 18
URBANA, OH 43078-1575
Phone number: 937-772-7645
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Mailing Address
TOMIE SUE COOPER
719 MOSGROVE ST APT 18
URBANA, OH 43078-1575
Phone number: 937-772-7645
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