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1366162760
TERRY BURNARD COOPER
BEAVERCREEK, OH
NPI
1366162760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OH C.2204275)
Enumeration Date
2022-08-29
Last Update Date
2022-08-29
Business Address
TERRY BURNARD COOPER
1411 N FAIRFIELD RD
BEAVERCREEK, OH 45432-2637
Phone number: 937-426-2686
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Mailing Address
TERRY BURNARD COOPER
1411 N FAIRFIELD RD
BEAVERCREEK, OH 45432-2637
Phone number: 937-426-2686
Copy
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