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1740779701
DEDRA DAWN COOP
FORT MYERS, FL
NPI
1740779701
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP9301536)
Enumeration Date
2018-05-05
Last Update Date
2022-10-03
Business Address
DEDRA DAWN COOP ARNP
13300 S CLEVELAND AVE STE 56
FORT MYERS, FL 33907-3871
Phone number: 239-292-3871
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Mailing Address
DEDRA DAWN COOP ARNP
4403 E 19TH ST
LEHIGH ACRES, FL 33972-1400
Phone number: 765-432-7195
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