Individual
DEBORAH COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4435 W LAWRENCE ST, APPLETON, WI 54914-4065
(920) 750-5500
Mailing address
1610 N NICHOLAS ST, APPLETON, WI 54914-2540
(920) 850-5539
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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