Individual
MR. SANTINO D COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8255 KENSINGTON BLVD APT 352, DAVISON, MI 48423-2963
(810) 814-4963
Mailing address
5191 KELLY RD, FLINT, MI 48504-1011
(810) 569-0266
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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