CRYSTAL LEE COOPER

MANSFIELD, OH
NPI1760611230
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  pn114000)
Enumeration Date2009-07-06
Last Update Date2011-11-04
Business Address
-- CRYSTAL LEE COOPER LPN
2908 AMOY GANGES RD
MANSFIELD, OH 44903-9769
Phone number: 419-610-1742
Mailing Address
-- CRYSTAL LEE COOPER LPN
2908 AMOY GANGES RD
MANSFIELD, OH 44903-9769
Phone number: 419-610-1742