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1649308750
MARIE JEANETTE COOPER
LAPWAI, ID
NPI
1649308750
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Former Name
MARIE JEANETTE TAUTFEST
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: ID PN13277)
Enumeration Date
2007-03-01
Last Update Date
2007-07-08
Business Address
Mrs. MARIE JEANETTE COOPER LPN
111 BEVER GRADE
LAPWAI, ID 83540
Phone number: 208-843-7221
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Mailing Address
Mrs. MARIE JEANETTE COOPER LPN
12150 KENT AVE
OROFINO, ID 83544
Phone number: 208-476-5064
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