Individual
VIRGINIA LEE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6649 75TH ST NW, APT B, ORONOCO, MN 55960-2180
(608) 769-5591
Mailing address
6649 75TH ST NW, APT B, ORONOCO, MN 55960-2180
(608) 769-5591
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R167746-1
MN
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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