Individual
CHRISTOPHER LEE COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4255 30TH AVE S, FARGO, ND 58104-8427
(701) 478-8122
Mailing address
4742 44TH ST S, FARGO, ND 58104-4283
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R32857
ND
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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