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1609126085
STANLEY COOPER
PADUCAH, KY
NPI
1609126085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
222Q00000X Developmental Therapist
Enumeration Date
2012-09-13
Last Update Date
2016-07-19
Business Address
Mr. STANLEY COOPER D.I.
6400 BRENTWOOD DR APT. 5
PADUCAH, KY 42003-9619
Phone number: 270-227-3194
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Mailing Address
Mr. STANLEY COOPER D.I.
6410 BRENTWOOD DR. APT. 5
PADUCAH, KY 42003
Phone number: 270-227-3194
Copy
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