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Individual
MR. DAVID COOPER
Active
Individual
MR. DAVID COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RNFA
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
041237530
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041237530
LICENSE
IL
01
—
108646
LICENSE
MO
Enumeration date
06/30/2005
Last updated
11/02/2009
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