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1811975667
RANDALL ALLEN COOPER
ELKHART, IN
NPI
1811975667
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0131X Podiatrist, Foot Surgery
(Licence: IN 07000384A)
Enumeration Date
2006-01-03
Last Update Date
2010-01-27
Business Address
Dr. RANDALL ALLEN COOPER D.P.M.
1723 E BRISTOL ST
ELKHART, IN 46514-3968
Phone number: 574-264-7180
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Mailing Address
Dr. RANDALL ALLEN COOPER D.P.M.
1723 E BRISTOL ST
ELKHART, IN 46514-3968
Phone number: 574-264-7180
Copy
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