COOPER ALAN BASSHAM

KANSAS CITY, MO
NPI1922887439
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-09-25
Last Update Date2023-09-25
Business Address
COOPER ALAN BASSHAM Student
2705 MCGEE TRFY APT 4410
KANSAS CITY, MO 64108-3472
Phone number: 870-421-1107
Mailing Address
COOPER ALAN BASSHAM Student
2705 MCGEE TRFY APT 4410
KANSAS CITY, MO 64108-3472
Phone number: 870-421-1107
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