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Individual

SHERISE RACHELLE COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1501 COMET DR, SAINT LOUIS, MO 63137-1536
(314) 227-5295
Mailing address
1501 COMET DR, SAINT LOUIS, MO 63137-1536
(314) 532-1877
(314) 227-5295

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
MO

Other

Enumeration date
05/22/2023
Last updated
05/22/2023
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