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1861568115
VICKI L COOPER
MELBOURNE, FL
NPI
1861568115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA2658)
Enumeration Date
2006-11-28
Last Update Date
2007-07-09
Business Address
VICKI L COOPER PAC
2080 W EAU GALLIE BLVD SUITE A
MELBOURNE, FL 32935-3185
Phone number: 321-254-6218
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Mailing Address
VICKI L COOPER PAC
2080 W EAU GALLIE BLVD SUITE A
MELBOURNE, FL 32935-3185
Phone number: 321-254-6218
Copy
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