MATTHEW LARRY COOSEMAN

HAZELWOOD, MO
NPI1649307133
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251300000X Local Education Agency (LEA)
Enumeration Date2007-02-28
Last Update Date2007-07-08
Business Address
Mr. MATTHEW LARRY COOSEMAN
8390 LATTY AVE
HAZELWOOD, MO 63042-3236
Phone number: 314-521-6060
Mailing Address
Mr. MATTHEW LARRY COOSEMAN
1005 WATERFORD DR
FLORISSANT, MO 63033-3649
Phone number: 314-521-6060
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