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Individual

MR. BENJAMIN COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
369 N UNION ST, DELAWARE, OH 43015-1255
(740) 971-1797
Mailing address
369 N UNION ST, DELAWARE, OH 43015-1255
(740) 971-1797

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.136658-M-IV
OH

Other

Enumeration date
09/05/2012
Last updated
09/05/2012
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