Individual
LARRY D COOPER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3252 HOSPITAL DR, JUNEAU, AK 99801-7808
(907) 796-8610
Mailing address
3252 HOSPITAL DR, JUNEAU, AK 99801-7808
(907) 796-8610
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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