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1821349853
GERALD COOPER
LAS VEGAS, NV
NPI
1821349853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2012-10-01
Last Update Date
2012-10-01
Business Address
-- GERALD COOPER
7058 FORT UNION CT
LAS VEGAS, NV 89179-1206
Phone number: 702-420-4111
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Mailing Address
-- GERALD COOPER
7058 FORT UNION CT
LAS VEGAS, NV 89179-1206
Phone number: 702-420-4111
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