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1922842293
STANLEY COOPER
SANTA ANA, CA
NPI
1922842293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1559360424)
Enumeration Date
2024-06-21
Last Update Date
2024-07-10
Business Address
STANLEY COOPER
3714 S PARTON ST
SANTA ANA, CA 92707-4831
Phone number: 714-824-9896
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Mailing Address
STANLEY COOPER
9662 BALL RD APT 5
ANAHEIM, CA 92804-5352
Phone number: 714-461-1511
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