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1710434543
THEODORE COOPER
EL PASO, TX
NPI
1710434543
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: TX 35075)
Enumeration Date
2016-09-09
Last Update Date
2016-09-09
Business Address
-- THEODORE COOPER
3612 PERA AVE
EL PASO, TX 79905-2412
Phone number: 915-533-7057
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Mailing Address
-- THEODORE COOPER
3607 RIVERA AVE
EL PASO, TX 79905-2415
Phone number: 915-533-7057
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