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1851676308
COOPER ADVANCED PRACTICE
MAGNOLIA, TX
NPI
1851676308
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Entity Type
Organization
Authorized Contact
TRENT COOPER
Owner
936-242-9809
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 666237)
Enumeration Date
2011-10-17
Last Update Date
2012-07-09
Business Address
COOPER ADVANCED PRACTICE
18230 FM 1488 RD SUITE 328
MAGNOLIA, TX 77354-4528
Phone number: 936-242-9809
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Mailing Address
COOPER ADVANCED PRACTICE
26702 STAGECOACH CROSSING DR
MAGNOLIA, TX 77355-2198
Phone number: 936-242-9809
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