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1790267508
MICHELLE COOPER
FORT WAYNE, IN
NPI
1790267508
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: IN 26020944A)
Enumeration Date
2018-08-29
Last Update Date
2018-08-29
Business Address
MICHELLE COOPER
6736 LIMA RD
FORT WAYNE, IN 46818-1118
Phone number: 260-490-0638
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Mailing Address
MICHELLE COOPER
6736 LIMA RD
FORT WAYNE, IN 46818-1118
Phone number: 260-490-0638
Copy
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