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Individual

JULIA DIANE COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1327 SPARGURSVILLE RD, BAINBRIDGE, OH 45612-9728
(740) 970-0507
Mailing address
1327 SPARGURSVILLE RD, BAINBRIDGE, OH 45612-9728
(740) 970-0507

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary

Other

Enumeration date
07/19/2023
Last updated
08/03/2023
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