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1740045103
MADISON COOPER
HIGHLAND, AR
NPI
1740045103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OTA2004)
Enumeration Date
2024-02-15
Last Update Date
2024-02-15
Business Address
MADISON COOPER
1441 HIGHWAY 62 412
HIGHLAND, AR 72542-9497
Phone number: 870-701-5089
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Mailing Address
MADISON COOPER
1361 LARKIN RD
MELBOURNE, AR 72556-8946
Phone number:
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