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1497993208
CARMEN COOPER
WALTHAM, MA
NPI
1497993208
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: MA 1663)
Enumeration Date
2009-02-02
Last Update Date
2009-02-02
Business Address
Mrs. CARMEN COOPER
218 CALVARY ST UNIT A
WALTHAM, MA 02453-8366
Phone number: 857-919-1502
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Mailing Address
Mrs. CARMEN COOPER
218 CALVARY ST UNIT A
WALTHAM, MA 02453-8366
Phone number: 857-919-1502
Copy