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1750316980
MARK EMANUEL COOPER
RICHMOND, VA
NPI
1750316980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: VA 0001125551)
Enumeration Date
2006-07-12
Last Update Date
2007-07-08
Business Address
-- MARK EMANUEL COOPER RN
1201 BROAD ROCK BLVD MCGUIRE VA MEDICAL CENTER
RICHMOND, VA 23249-0001
Phone number: 804-675-5000
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Mailing Address
-- MARK EMANUEL COOPER RN
13916 HOWLETT LINE DR
COLONIAL HEIGHTS, VA 23834-5865
Phone number: 804-530-8335
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