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Organization

RURAL HEALTH EDUCATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BAILEE CATHERINE COOPER PHD, RDN, LD (DIETITIAN/OWNER)
(325) 374-6185
Entity
Organization

Contact information

Practice address
6313 N FM 179, SHALLOWATER, TX 79363
(325) 374-6185
(806) 207-3479
Mailing address
6313 N FM 179, SHALLOWATER, TX 79363-0019

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
05/18/2022
Last updated
12/09/2022
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