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Individual

ANTHONY GEORGE COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2740 NE 57TH ST, FT LAUDERDALE, FL 33308-2720
(954) 709-7608
Mailing address
2740 NE 57TH ST, FT LAUDERDALE, FL 33308-2720

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
09/05/2019
Last updated
09/05/2019
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