LANCE EDWIN COOPER

FAIRBANKS, AK
NPI1750253316
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2025-09-22
Last Update Date2025-09-22
Business Address
LANCE EDWIN COOPER
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890
Mailing Address
LANCE EDWIN COOPER
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890