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1477215457
TINA WYNN COOPER
MOORE, SC
NPI
1477215457
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2021-10-07
Last Update Date
2021-10-07
Business Address
TINA WYNN COOPER
243 REXFORD DR
MOORE, SC 29369-9477
Phone number: 864-580-1327
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Mailing Address
TINA WYNN COOPER
243 REXFORD DR
MOORE, SC 29369-9477
Phone number: 864-580-1327
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