MERRELL N COOPER

MORTON, WA
NPI1407942592
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  OP00001426)
Enumeration Date2006-10-05
Last Update Date2007-07-10
Business Address
-- MERRELL N COOPER DO
531 ADAMS STREET
MORTON, WA 98356-0018
Phone number: 360-496-5145
Mailing Address
-- MERRELL N COOPER DO
531 ADAMS STREET
MORTON, WA 98356-0988
Phone number: 360-496-5145
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