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1609315852
JAKE COOPER
JONESBORO, AR
NPI
1609315852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AR L053671)
Enumeration Date
2017-02-21
Last Update Date
2017-02-21
Business Address
-- JAKE COOPER LPN
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
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Mailing Address
-- JAKE COOPER LPN
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
Copy
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