AMBER LEIA COOPER

GREENTOWN, IN
NPI1871910729
Former NameAMBER LEIA MUMAW
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171W00000X Contractor
(Licence: IN  1073789467)
Enumeration Date2014-03-27
Last Update Date2014-03-27
Business Address
Mrs. AMBER LEIA COOPER COTA
9909 E 100 S
GREENTOWN, IN 46936-9163
Phone number: 765-628-0605
Mailing Address
Mrs. AMBER LEIA COOPER COTA
9909 E 100 S
GREENTOWN, IN 46936-9163
Phone number: 765-628-0605