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1780657155
COLLIN E COOPER
GLENDALE, CA
NPI
1780657155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: CA G5591)
Enumeration Date
2006-02-08
Last Update Date
2012-04-27
Business Address
-- COLLIN E COOPER MD
1818 VERDUGO BLVD 108
GLENDALE, CA 91208-1403
Phone number: 818-790-1145
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Mailing Address
-- COLLIN E COOPER MD
1818 VERDUGO BLVD 108
GLENDALE, CA 91208-1403
Phone number: 818-790-1145
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