Individual
TEMBER RAE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 KENWOOD AVE, DULUTH, MN 55811-4199
(320) 295-0146
Mailing address
2341 470TH ST, ISLE, MN 56342-9210
(320) 295-0146
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MN
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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