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1730931718
WANTZY COOPER ENTERPRISES LLC
BULLHEAD CITY, AZ
NPI
1730931718
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Entity Type
Organization
Authorized Contact
WANTZY COOPER
Owner/Member Manager
917-697-4065
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2024-04-03
Last Update Date
2024-06-03
Business Address
WANTZY COOPER ENTERPRISES LLC
2440 HIGHWAY 95 STE B215
BULLHEAD CITY, AZ 86442-7323
Phone number: 917-697-4065
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Mailing Address
WANTZY COOPER ENTERPRISES LLC
2440 HIGHWAY 95 STE B215
BULLHEAD CITY, AZ 86442-7323
Phone number: 917-697-4065
Copy
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