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1457192700
LANCE COOPER
XENIA, OH
NPI
1457192700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OH APS.005083)
Enumeration Date
2024-06-03
Last Update Date
2024-06-03
Business Address
LANCE COOPER
282 STELTON RD
XENIA, OH 45385-5220
Phone number: 937-708-8348
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Mailing Address
LANCE COOPER
PO BOX 212
XENIA, OH 45385-0212
Phone number: 517-242-4107
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