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1821452228
DAVID TYLER COOPER
COLUMBIANA, AL
NPI
1821452228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL 1737)
Enumeration Date
2016-04-12
Last Update Date
2016-04-12
Business Address
-- DAVID TYLER COOPER ATC, LAT
101 WASHINGTON ST
COLUMBIANA, AL 35051-9325
Phone number: 256-738-6808
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Mailing Address
-- DAVID TYLER COOPER ATC, LAT
720 MONTCLAIR RD STE 202
BIRMINGHAM, AL 35213-1964
Phone number: 205-747-2710
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