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1982489993
COLETTE FAE WISEMAN COOPER
OAKLAND, CA
NPI
1982489993
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 304452)
Enumeration Date
2023-08-28
Last Update Date
2023-11-19
Business Address
Ms. COLETTE FAE WISEMAN COOPER DPT
1411 E 31ST ST
OAKLAND, CA 94602-1092
Phone number: 510-437-4800
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Mailing Address
Ms. COLETTE FAE WISEMAN COOPER DPT
3093 BROADWAY UNIT 637
OAKLAND, CA 94611-5952
Phone number: 805-259-7714
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