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1730535642
ETHAN COOPER
TULSA, OK
NPI
1730535642
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-05-10
Last Update Date
2016-05-10
Business Address
-- ETHAN COOPER
1055 S HOUSTON AVE
TULSA, OK 74127-9043
Phone number: 918-921-3200
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Mailing Address
-- ETHAN COOPER
650 S PEORIA AVE
TULSA, OK 74120-4429
Phone number: 918-587-9471
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