COOPER BOONE UTLEY

ATHENS, GA
NPI1386576478
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: GA  PHI-023067)
Enumeration Date2026-06-02
Last Update Date2026-06-02
Business Address
COOPER BOONE UTLEY
250 W GREEN ST
ATHENS, GA 30602-5036
Phone number: 706-542-1911
Mailing Address
COOPER BOONE UTLEY
840 ZION HOPE RD
TIFTON, GA 31793-5407
Phone number: 229-326-7797
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