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1992550586
TANESSA COOPER
TAHLEQUAH, OK
NPI
1992550586
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2024-04-18
Last Update Date
2024-04-18
Business Address
TANESSA COOPER
2015 UTAH DR
TAHLEQUAH, OK 74464-8800
Phone number: 479-326-2052
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Mailing Address
TANESSA COOPER
2015 UTAH DR
TAHLEQUAH, OK 74464-8800
Phone number: 479-326-2052
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