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Individual

ALBERT COOPER JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2661 E. WOODACRE ST., BREA, CA 92821
(714) 528-1476
Mailing address
2661 E. WOODACRE ST., BREA, CA 92821

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
GFE57434
CA

Other

Enumeration date
10/03/2014
Last updated
10/03/2014
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