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1558810044
COOPER NICHELLE CARTER
CHAMPAIGN, IL
NPI
1558810044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2016-09-26
Last Update Date
2016-09-26
Business Address
-- COOPER NICHELLE CARTER
1801 FOX DR
CHAMPAIGN, IL 61820-7236
Phone number: 217-398-9090
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Mailing Address
-- COOPER NICHELLE CARTER
401 W SPRINGFIELD AVE
CHAMPAIGN, IL 61820-4716
Phone number:
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