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1619394673
BRIAN COOPER
ROSEVILLE, CA
NPI
1619394673
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-03-27
Last Update Date
2014-10-15
Business Address
-- BRIAN COOPER
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6647
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Mailing Address
-- BRIAN COOPER
11885 ASPEN HEIGHTS CT
RANCHO CORDOVA, CA 95742-8135
Phone number: 916-743-5434
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