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Individual
TERRY L COOPER
Active
Individual
TERRY L COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
141392
NC
363L00000X
Nurse Practitioner
5002898
NC
363LN0000X
Neonatal Nurse Practitioner
Primary
5002898
NC
Other
Enumeration date
11/04/2008
Last updated
08/02/2024
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