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1619652112
CHASITY IMANI COOPER
PANAMA CITY, FL
NPI
1619652112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: FL APRN11026964)
Enumeration Date
2023-06-21
Last Update Date
2024-04-02
Business Address
CHASITY IMANI COOPER
525 E 15TH ST
PANAMA CITY, FL 32405-5400
Phone number: 850-522-4485
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Mailing Address
CHASITY IMANI COOPER
304 MONTCLAIR DR
DOTHAN, AL 36301-2933
Phone number: 334-790-8439
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