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1467181743
MARY ELLEN COOPER
CHARLOTTESVILLE, VA
NPI
1467181743
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Former Name
MARY HOGAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA 0024183234)
Enumeration Date
2022-06-10
Last Update Date
2022-11-23
Business Address
MARY ELLEN COOPER PMHNP
310 OLD IVY WAY
CHARLOTTESVILLE, VA 22903-4896
Phone number: 434-243-6950
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Mailing Address
MARY ELLEN COOPER PMHNP
PO BOX 9007
CHARLOTTESVILLE, VA 22906-9007
Phone number:
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