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1669985420
CHARLES RENEE COOPER
ALBUQUERQUE, NM
NPI
1669985420
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-11-14
Last Update Date
2017-11-14
Business Address
CHARLES RENEE COOPER
622 MANZANO ST NE
ALBUQUERQUE, NM 87110-6302
Phone number: 505-925-4044
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Mailing Address
CHARLES RENEE COOPER
622 MANZANO ST NE
ALBUQUERQUE, NM 87110-6302
Phone number:
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