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1407806821
JENNIFER LYNN COOPER
SOUTH LAKE TAHOE, CA
NPI
1407806821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT 1642)
Enumeration Date
2006-05-10
Last Update Date
2008-01-25
Business Address
-- JENNIFER LYNN COOPER P.T.
812 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 96150-6413
Phone number: 530-542-2662
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Mailing Address
-- JENNIFER LYNN COOPER P.T.
812 EMERALD BAY RD
S LAKE TAHOE, CA 96150-6413
Phone number: 530-542-2662
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