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1447366885
KEITH D COOPER
PERRYVILLE, MO
NPI
1447366885
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MO DE015824)
Enumeration Date
2006-08-21
Last Update Date
2007-07-08
Business Address
Dr. KEITH D COOPER DDS
12 S JACKSON ST
PERRYVILLE, MO 63775-2515
Phone number: 573-547-6520
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Mailing Address
Dr. KEITH D COOPER DDS
12 S JACKSON ST
PERRYVILLE, MO 63775-2515
Phone number: 573-547-6520
Copy
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