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1659891984
GEORGE ROBERT COOPER
FORT WAYNE, IN
NPI
1659891984
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IN 12012761A)
Enumeration Date
2017-06-27
Last Update Date
2022-07-21
Business Address
DR. GEORGE ROBERT COOPER DMD
2121 E DUPONT RD SUITE E
FORT WAYNE, IN 46825
Phone number: 260-489-1508
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Mailing Address
DR. GEORGE ROBERT COOPER DMD
2121 E DUPONT RD STE E
FORT WAYNE, IN 46825-1546
Phone number: 260-489-1508
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