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Individual
REBECCA COOPER
Active
Individual
REBECCA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14569
SD
Other
Enumeration date
04/09/2020
Last updated
09/20/2024
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