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1750316881
KIM COOPER
JACKSON, MS
NPI
1750316881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MS R639893)
Enumeration Date
2006-07-11
Last Update Date
2010-06-25
Business Address
-- KIM COOPER NP
5903 RIDGEWOOD RD STE 310
JACKSON, MS 39211-3702
Phone number: 601-899-3310
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Mailing Address
-- KIM COOPER NP
5903 RIDGEWOOD RD STE 310
JACKSON, MS 39211-3702
Phone number: 601-899-3310
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