DEONTE COOPER

BARTOW, FL
NPI1902351943
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2016-08-19
Last Update Date2016-08-19
Business Address
-- DEONTE COOPER
1239 E MAIN ST
BARTOW, FL 33830-5058
Phone number: 863-519-0575
Mailing Address
-- DEONTE COOPER
PO BOX 1559
BARTOW, FL 33831-1559
Phone number: 863-519-0575
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