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1912308651
IAN COOPER
SANTA MONICA, CA
NPI
1912308651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2014-09-12
Last Update Date
2014-09-12
Business Address
-- IAN COOPER
1328 2ND ST
SANTA MONICA, CA 90401-1122
Phone number: 310-576-1308
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Mailing Address
-- IAN COOPER
1328 2ND ST
SANTA MONICA, CA 90401-1122
Phone number: 310-576-1308
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