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1770303737
ALICIA JEAN COOPER
VIRGINIA BEACH, VA
NPI
1770303737
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA 2024068271)
Enumeration Date
2024-10-15
Last Update Date
2024-10-15
Business Address
ALICIA JEAN COOPER PMHNP-BC
5265 PROVIDENCE RD STE 500
VIRGINIA BEACH, VA 23464-4210
Phone number: 757-467-9500
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Mailing Address
ALICIA JEAN COOPER PMHNP-BC
3501 STORM BIRD LOOP
VIRGINIA BEACH, VA 23453-2257
Phone number: 757-619-4534
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