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1760611230
CRYSTAL LEE COOPER
MANSFIELD, OH
NPI
1760611230
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH pn114000)
Enumeration Date
2009-07-06
Last Update Date
2011-11-04
Business Address
-- CRYSTAL LEE COOPER LPN
2908 AMOY GANGES RD
MANSFIELD, OH 44903-9769
Phone number: 419-610-1742
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Mailing Address
-- CRYSTAL LEE COOPER LPN
2908 AMOY GANGES RD
MANSFIELD, OH 44903-9769
Phone number: 419-610-1742
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