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1922887439
COOPER ALAN BASSHAM
KANSAS CITY, MO
NPI
1922887439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-09-25
Last Update Date
2023-09-25
Business Address
COOPER ALAN BASSHAM Student
2705 MCGEE TRFY APT 4410
KANSAS CITY, MO 64108-3472
Phone number: 870-421-1107
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Mailing Address
COOPER ALAN BASSHAM Student
2705 MCGEE TRFY APT 4410
KANSAS CITY, MO 64108-3472
Phone number: 870-421-1107
Copy
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