Individual
SHAUN ROBERT COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
65 VALLEY RD, MIDDLETOWN, RI 02842-5234
(401) 846-1213
Mailing address
65 VALLEY RD, MIDDLETOWN, RI 02842-5234
(401) 846-1213
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 36143
RI
Other
Enumeration date
12/27/2010
Last updated
12/27/2010
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