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1790770022
DANIEL J COOPER
STOCKTON, CA
NPI
1790770022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A6218)
Enumeration Date
2005-09-13
Last Update Date
2018-03-17
Business Address
DANIEL J COOPER DO
2505 W HAMMER LN
STOCKTON, CA 95209-2839
Phone number: 209-957-7050
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Mailing Address
DANIEL J COOPER DO
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-521-6097
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