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1376818005
MICHAEL COOPER
VACAVILLE, CA
NPI
1376818005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-03-13
Last Update Date
2012-03-13
Business Address
-- MICHAEL COOPER
1286 CALLEN ST
VACAVILLE, CA 95688-3002
Phone number: 707-447-8982
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Mailing Address
-- MICHAEL COOPER
401 ACACIA ST APT B
VACAVILLE, CA 95688-3727
Phone number:
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