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1447366554
LISA T COOPER
DETROIT, MI
NPI
1447366554
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MI 4301062483)
Enumeration Date
2006-08-22
Last Update Date
2012-09-24
Business Address
-- LISA T COOPER MD
3990 JOHN R ST
DETROIT, MI 48201-2018
Phone number: 313-745-8521
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Mailing Address
-- LISA T COOPER MD
PO BOX 64000 DWR 641546
DETROIT, MI 48264-0001
Phone number:
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