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1790912608
BRIAN DAVID COOPRIDER
BELLEVUE, NE
NPI
1790912608
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2009-06-18
Last Update Date
2009-06-18
Business Address
Mr. BRIAN DAVID COOPRIDER IDMT
2501 CAPEHART ROAD
BELLEVUE, NE 68113-2160
Phone number: 402-294-7333
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Mailing Address
Mr. BRIAN DAVID COOPRIDER IDMT
2501 CAPEHART ROAD
APO, AP 68113-2160
Phone number: 402-294-7333
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