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1427535079
JENNA JOE ROSE COOPER
OXFORD, MS
NPI
1427535079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207N00000X Dermatology
(Licence: MS PA00382)
Enumeration Date
2018-07-26
Last Update Date
2018-07-26
Business Address
JENNA JOE ROSE COOPER PA-C
2204 JEFFERSON DAVIS DR
OXFORD, MS 38655-5222
Phone number: 662-316-6133
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Mailing Address
JENNA JOE ROSE COOPER PA-C
2204 JEFFERSON DAVIS DR
OXFORD, MS 38655-5222
Phone number: 662-316-6133
Copy
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