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1851936462
KEVIN DONOVAN COOPER
SACRAMENTO, CA
NPI
1851936462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-11-07
Last Update Date
2023-11-27
Business Address
KEVIN DONOVAN COOPER
1820 J ST
SACRAMENTO, CA 95811-3010
Phone number: 916-313-8434
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Mailing Address
KEVIN DONOVAN COOPER
4901 LITTLE OAK LN APT 246
SACRAMENTO, CA 95841-3752
Phone number: 916-416-4417
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