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Individual

DAWANDA COOPER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
UPC JEFFERSON-RESEARCH, 2761 E JEFFERSON, DETROIT, MI 48207
(888) 362-7792
Mailing address
3800 WOODWARD AVE, SUITE 702, DETROIT, MI 48201-2061

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703028472
MI

Other

Enumeration date
06/02/2006
Last updated
07/08/2007
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