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Individual
JAMIE L COOPER
Active
Individual
JAMIE L COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
02002828A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000480530
ANTHEM
IN
01
—
000000720579
ANTHEM
IN
01
—
1935002
CIGNA
IN
05
—
200543500
—
IN
01
—
7554169
AETNA
IN
Enumeration date
06/06/2006
Last updated
07/01/2019
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