Individual
MR. MARION W COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3333 GLENDALE AVE, TOLEDO, OH 43614-2426
(419) 259-2000
Mailing address
515 BUCKEYE ST, GENOA, OH 43430-1723
(419) 344-9387
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN 237533
OH
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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