ETHAN COOPER

TULSA, OK
NPI1730535642
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2016-05-10
Last Update Date2016-05-10
Business Address
-- ETHAN COOPER
1055 S HOUSTON AVE
TULSA, OK 74127-9043
Phone number: 918-921-3200
Mailing Address
-- ETHAN COOPER
650 S PEORIA AVE
TULSA, OK 74120-4429
Phone number: 918-587-9471
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