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1467097394
IZETTA KATHY COOPER
WINCHESTER, VA
NPI
1467097394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2019-11-14
Last Update Date
2019-11-14
Business Address
IZETTA KATHY COOPER
200 SULGRAVE CT
WINCHESTER, VA 22602-4573
Phone number: 304-279-9253
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Mailing Address
IZETTA KATHY COOPER
200 SULGRAVE CT
WINCHESTER, VA 22602-4573
Phone number: 304-279-9253
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